<?xml version="1.0" encoding="UTF-8"?>

<!--
Title: Comprehensive Primary Care (CPC+) Plus Sample QRDA-III Report
File Name: Comprehensive Primary Care Plus (CPC+) Sample QRDA-III.xml
Version: 1.0
Revision History:  
    		1) 11/15/17 Created
Description:  
    		1) This QRDA-III sample file is valid ONLY for CPC+ and for the Performance Period 2018 (01/01/2018 - 12/31/2018 measurement period) reporting. 
    	   2) This sample file correctly validates against the conformance statements specified in the CMS Implementation Guide for Quality Reporting Document Architecture Category III Eligible Clinicians and Eligible Professionals Programs -->
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
   <realmCode code="US"/>
   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
   <templateId root="2.16.840.1.113883.10.20.27.1.1" extension="2017-06-01"/>
   <templateId root="2.16.840.1.113883.10.20.27.1.2" extension="2017-07-01"/>
   <id root="D5E68223-5760-11E7-1256-09173F13E4C5"/>
   <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="20190211061231"/>
   <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
   <languageCode code="en"/>
   <setId root="D5E68223-5760-11E7-1256-09173F13E4C5"/>
   <versionNumber value="1"/>
   <recordTarget>
      <patientRole>
         <id nullFlavor="NA"/>
      </patientRole>
   </recordTarget>
   <!--Device Author Example-->
	  <author>
      <time value="20180211061231"/>
      <assignedAuthor>
         <id root="D5E68225-5760-11E7-1256-09173F13E4C5"/>
         <assignedAuthoringDevice>
            <softwareName>SOME Data Aggregator Transform Tool AS00016dev</softwareName>
         </assignedAuthoringDevice>
         <representedOrganization>
            <id root="2.16.840.1.113883.19.5" extension="223344"/>
            <name>Good Health Clinic</name>
         </representedOrganization>
      </assignedAuthor>
   </author>
   <!--Person Author Example-->
	  <author>
      <time value="20180311061231"/>
      <assignedAuthor>
         <id root="2.16.840.1.113883.4.6"
             extension="2567891421"
             assigningAuthorityName="NPI"/>
         <assignedPerson>
            <name>
               <given>Trevor</given>
               <family>Phillips</family>
            </name>
         </assignedPerson>
         <representedOrganization>
            <id root="2.16.840.1.113883.19.5" extension="223344"/>
            <name>Good Health Clinic</name>
         </representedOrganization>
      </assignedAuthor>
   </author>
   <custodian>
      <assignedCustodian>
         <representedCustodianOrganization>
            <id root="2.16.840.1.113883.19.5" extension="223344"/>
            <name>Good Health Clinic</name>
         </representedCustodianOrganization>
      </assignedCustodian>
   </custodian>
   <!--Program for which data is being submitted-->
	  <informationRecipient>
      <intendedRecipient>
         <id root="2.16.840.1.113883.3.249.7" extension="CPCPLUS"/>
      </intendedRecipient>
   </informationRecipient>
   <legalAuthenticator>
      <time value="20170312153222"/>
      <signatureCode code="S"/>
      <assignedEntity>
         <id root="D5E68226-5760-11E7-1256-09173F13E4C5"/>
         <representedOrganization>
            <id root="2.16.840.1.113883.19.5" extension="223344"/>
            <name>Good Health Clinic</name>
         </representedOrganization>
      </assignedEntity>
   </legalAuthenticator>
   <participant typeCode="DEV">
      <associatedEntity classCode="RGPR">
         <id root="2.16.840.1.113883.3.2074.1"
             extension="CMS_EHR_Certification_Identification_Number_Goes_Here"/>
         <code code="129465004"
               displayName="medical record, device"
               codeSystem="2.16.840.1.113883.6.96"
               codeSystemName="SNOMED-CT"/>
      </associatedEntity>
   </participant>
   <!--Practice Site-->
	  <participant typeCode="LOC">
      <associatedEntity classCode="SDLOC">
         <id root="2.16.840.1.113883.3.249.5.1"
            extension="T2OR1234"
             assigningAuthorityName="CMS-CMMI"/>
         <code code="394730007"
               displayName="healthcare related organization"
               codeSystem="2.16.840.1.113883.6.96"
               codeSystemName="SNOMED-CT"/>
         <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="20180101"/>
            <high value="20181231"/>
         </effectiveTime>	
         <performer typeCode="PRF">
            <time>
               <low value="20180101"/>
               <high value="20181231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2567891421"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Good Health Clinic</name>
               </representedOrganization>
            </assignedEntity>
         </performer>	
         <performer typeCode="PRF">
            <time>
               <low value="20180101"/>
               <high value="20181231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2589654740"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Good Health Clinic</name>
               </representedOrganization>
            </assignedEntity>
         </performer>	
         <performer typeCode="PRF">
            <time>
               <low value="20180101"/>
               <high value="20181231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2345872354"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Good Health Clinic</name>
               </representedOrganization>
            </assignedEntity>
         </performer>	
         <performer typeCode="PRF">
            <time>
               <low value="20180101"/>
               <high value="20181231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2365987421"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Good Health Clinic</name>
               </representedOrganization>
            </assignedEntity>
         </performer>	
         <performer typeCode="PRF">
            <time>
               <low value="20180101"/>
               <high value="20181231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2357943549"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Good Health Clinic</name>
               </representedOrganization>
            </assignedEntity>
         </performer>
      </serviceEvent>
   </documentationOf>
   <authorization>
      <consent>
         <id root="D5E68227-5760-11E7-1256-09173F13E4C5"/>
         <code code="425691002"
               displayName="consent given for electronic record sharing"
               codeSystem="2.16.840.1.113883.6.96"
               codeSystemName="SNOMED-CT"/>
         <statusCode code="completed"/>
      </consent>
   </authorization>
   <!--
********************************************************
CDA Body
********************************************************
-->
	  <component>
      <structuredBody>
<!--
********************************************************
QRDA Category III Measure Section (CMS EP)
********************************************************
-->
         <component>
            <section>
               <templateId root="2.16.840.1.113883.10.20.27.2.1" extension="2017-06-01"/>
               <templateId root="2.16.840.1.113883.10.20.24.2.2"/>
               <templateId root="2.16.840.1.113883.10.20.27.2.3" extension="2019-05-01"/>
               <code code="55186-1"
                     codeSystem="2.16.840.1.113883.6.1"
                     displayName="measure document"/>
               <title>Measure Section</title>
               <text>
						<!--NQF 0059 / CMS122-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Diabetes: Hemoglobin A1c (HbA1c) Poor Control (&gt; 9%)</td>
                           <td>f2986519-5a4e-4149-a8f2-af0a1dc7f6bc</td>
                           <td>40280382-5abd-fa46-015b-4981e40b37e6</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .8</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0032 / CMS124-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Cervical Cancer Screening</td>
                           <td>42e7e489-790f-427a-a1a6-d6e807f65a6d</td>
                           <td>40280382-5abd-fa46-015b-4989b55937fe</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 2372 / CMS125-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Breast Cancer Screening</td>
                           <td>19783c1b-4fd1-46c1-8a96-a2f192b97ee0</td>
                           <td>40280382-5b4d-eebc-015b-5ea9efcc02ac</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 1000</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 1000</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 100</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 800</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0034 / CMS130-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Colorectal Cancer Screening</td>
                           <td>aa2a4bbc-864f-45ee-b17a-7ebcc62e6aac</td>
                           <td>40280382-5abd-fa46-015b-4993577e382e</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0055 / CMS131-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Diabetes: Eye Exam</td>
                           <td>d90bdab4-b9d2-4329-9993-5c34e2c0dc66</td>
                           <td>40280382-5abd-fa46-015b-49956e7c383a</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .8</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0004 / CMS137-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Initiation and Engagement of Alcohol and Other Drug Dependence Treatment</td>
                           <td>c3657d72-21b4-4675-820a-86c7fe293bf5</td>
                           <td>40280382-5abd-fa46-015b-499c87c0385e</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Stratum 1</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Stratum 2</content>: 500</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Stratum 1</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Stratum 2</content>: 500</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Stratum 1</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Stratum 2</content>: 50</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Stratum 1</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Stratum 2</content>: 400</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Stratum 1</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Stratum 2</content>: 500</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Stratum 1</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Stratum 2</content>: 500</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Stratum 1</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Stratum 2</content>: 50</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Stratum 1</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Stratum 2</content>: 400</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0028 / CMS138-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</td>
                           <td>e35791df-5b25-41bb-b260-673337bc44a8</td>
                           <td>40280382-5abd-fa46-015b-1b7c6bb929d0</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0101 / CMS139-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Falls: Screening for Future Fall Risk</td>
                           <td>bc5b4a57-b964-4399-9d40-667c896f31ea</td>
                           <td>40280382-5abd-fa46-015b-49b36bf238d7</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 2872 / CMS149-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Dementia: Cognitive Assessment</td>
                           <td>7c443b9b-1ad1-4467-b527-defc445701ff</td>
                           <td>40280382-5971-4eed-015a-4e002d4b4b66</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0022 / CMS156-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Use of High-Risk Medications in the Elderly</td>
                           <td>a3837ff8-1abc-4ba9-800e-fd4e7953adbd</td>
                           <td>40280382-5abd-fa46-015b-49b5b1e638e3</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .8 .8</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF Not Applicable / CMS127-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Pneumococcal Vaccination Status for Older Adults</td>
                           <td>59657b9b-01bf-4979-a090-8534da1d0516</td>
                           <td>40280382-5abd-fa46-015b-498df1243816</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0018 / CMS165-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Controlling High Blood Pressure</td>
                           <td>abdc37cc-bac6-4156-9b91-d1be2c8b7268</td>
                           <td>40280382-5abd-fa46-015b-49abb28d38b2</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0062 / CMS134-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Diabetes: Medical Attention for Nephropathy</td>
                           <td>40280382-5abd-fa46-015b-49973dc03846</td>
                           <td>40280381-51f0-825b-0152-22ba7621182e</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF Not Applicable / CMS50-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Closing the Referral Loop: Receipt of Specialist Report</td>
                           <td>f58fc0d6-edf5-416a-8d29-79afbfd24dea</td>
                           <td>40280382-5971-4eed-015a-5c465a344ded</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .8</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0418 / CMS2-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</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>40280382-5b4d-eebc-015b-5844953b00a3</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                  </list>
                 <!--NQF 0712 / CMS160-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Depression Utilization of the PHQ-9 Tool</td>
                           <td>a4b9763c-847e-4e02-bb7e-acc596e90e2c</td>
                           <td>40280382-5b4d-eebc-015b-5e87add90267</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0041 / CMS147-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Preventive Care and Screening: Influenza Immunization</td>
                           <td>a244aa29-7d11-4616-888a-86e376bfcc6f</td>
                           <td>40280382-5b4d-eebc-015b-5d99505001ea</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                  </list>
                  <!--NQF 0068 / CMS164-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet</td>
                           <td>0713ea8f-0e5b-4099-8c7c-dd677280398f</td>
                           <td>40280382-5abd-fa46-015b-49a7a51f38a0</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                  </list>
                 <!--NQF Not Applicable / CMS347-->
                  <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eMeasure Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>Statin Therapy for the Prevention and Treatment of Cardiovascular Disease</td>
                           <td>5375d6a9-203b-4fff-b851-afa9b68d2ac2</td>
                           <td>40280382-5b4d-eebc-015b-8245e0fa06b7</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                     <item>
                        <content styleCode="Bold">Performance Rate</content>: .888889</item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Initial Population</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator</content>: 1000<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 500</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 250</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 250</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exclusions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Numerator</content>: 800<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 400</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 200</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 200</item>
                        </list>
                     </item>
                     <item>
                        <content styleCode="Bold">Denominator Exceptions</content>: 100<list>
                           <item>
                              <content styleCode="Bold">Gender - Male</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Gender - Female</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Not Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Ethnicity - Hispanic or Latino</content>: 50</item>
                           <item>
                              <content styleCode="Bold">Race - Black or African American</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - White</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Asian</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - American Indian or Alaska Native</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Race - Native Hawaiian or Other Pacific Islander</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Race - Other Race</content>: 0</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicare</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Medicaid</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Private Health Insurance</content>: 25</item>
                           <item>
                              <content styleCode="Bold">Payer - Other</content>: 25</item>
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                     </item>
                  </list>
               </text>
               <!--Performance Period-->
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                  <act classCode="ACT" moodCode="EVN">
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                     <id root="D5E68228-5760-11E7-1256-09173F13E4C5"/>
                     <code code="252116004"
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                           displayName="Observation Parameters"/>
                     <effectiveTime>
                        <low value="20180101"/>
                        <high value="20181231"/>
                     </effectiveTime>
                  </act>
               </entry>
               <!--Measure Entry for NQF 0059 / CMS122-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E68229-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-4981e40b37e6"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Diabetes: Hemoglobin A1c (HbA1c) Poor Control (&gt; 9%)</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
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                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B2497764-9F9D-402B-8852-1FB3BAA30B2C"/>
                                 <code code="NUMER"
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                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
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                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
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                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
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                                 <code code="MSRAGG"
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                                       codeSystemName="ActCode"
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                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6822A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6822B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6822C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6822D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
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                                             codeSystemName="ActCode"
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                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6822E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
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                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
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                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6822F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
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                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
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                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68230-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
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                                             codeSystemName="ActCode"
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                                       <statusCode code="completed"/>
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                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68231-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68232-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68233-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68234-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68235-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B7D491B3-358C-41A3-94F8-B986E65D99B6"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68236-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68237-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68238-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68239-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6823E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6823F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68240-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68241-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="D6366A39-0B09-478B-B65A-1044CB22F68F"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6848D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6848E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6848F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68490-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68491-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68492-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68493-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68494-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68495-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68496-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68497-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68498-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="2E60E186-DB12-4810-A6B6-BAEBFF71A78E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68242-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68243-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68244-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68245-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68246-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68247-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68248-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68249-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6824A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6824B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6824C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6824D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B2497764-9F9D-402B-8852-1FB3BAA30B2C"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0032 / CMS124-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E6824E-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-4989b55937fe"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Cervical Cancer Screening</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="5FB7CF82-66B2-4193-A149-BBC147C3C806"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6824F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68250-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68251-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68252-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68253-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68254-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68255-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68256-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68257-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68258-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68259-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6825A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="DA8343BF-CC74-432C-8791-25A24371E272"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6825B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6825C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6825D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6825E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6825F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68260-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68261-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68262-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68263-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68264-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68265-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68266-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="07FEF163-AD9D-49DF-8888-D61059B5A336"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68267-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68268-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68269-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6826A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6826F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68270-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68271-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68272-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="6BB7C510-DA0F-4EA6-A1FB-4609DA8C1229"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68273-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68274-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68275-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68276-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68277-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68278-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68279-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6827A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6827B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6827C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6827D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6827E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="5FB7CF82-66B2-4193-A149-BBC147C3C806"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 2372 / CMS125-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E6827F-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5b4d-eebc-015b-5ea9efcc02ac"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Breast Cancer Screening</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="475ABF74-7880-45F6-AE2A-FC6333EACCDA"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68280-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68281-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1000"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68282-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68283-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68284-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68285-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68286-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68287-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68288-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68289-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6828A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6828B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C4BF72E5-8BF7-46A7-BD7B-6350F901FF54"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6828C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6828D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1000"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6828E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6828F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68290-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68291-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68292-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68293-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68294-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68295-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68296-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68297-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="2A320D3E-1A77-4944-AE56-B812673AAF8A"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68298-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68299-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="100"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6829A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6829B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6829C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6829D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6829E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6829F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682A0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682A1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682A2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682A3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="2D3173C1-39F8-433C-B78E-CF72172CEA7A"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682A4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682A5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="800"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682A6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682A7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682A8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682A9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682AA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682AB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682AC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682AD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682AE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682AF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="475ABF74-7880-45F6-AE2A-FC6333EACCDA"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0034 / CMS130-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E682B0-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-4993577e382e"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Colorectal Cancer Screening</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="4CB09E04-EB4E-4902-9775-F4F36EFF57C2"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682B1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682B2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682B3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682B4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682B5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682B6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682B7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682B8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682B9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682BA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682BB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682BC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="FA04C05D-FABF-4ED8-BC56-5E1C9E7F4170"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682BD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682BE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682BF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682C0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682C1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682C2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682C3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682C4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682C5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682C6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682C7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682C8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="65F9718A-2BE8-4FE7-801C-2FEB861C55D2"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682C9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682CA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682CB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682CC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682CD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682CE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682CF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682D0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682D1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682D2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682D3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682D4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="DC79FC52-DE56-4B39-A9A4-BC82F32564BE"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682D5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682D6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682D7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682D8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682D9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682DA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682DB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682DC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682DD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682DE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682DF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682E0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="4CB09E04-EB4E-4902-9775-F4F36EFF57C2"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0055 / CMS131-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E682E1-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-49956e7c383a"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Diabetes: Eye Exam</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C7D4A675-E578-45F2-B637-5C1FC90FCCFA"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682E2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682E3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682E4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682E5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682E6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682E7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682E8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682E9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682EA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682EB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682EC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682ED-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="A14D91B3-CD7F-432D-8148-B9563BAA960D"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682EE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682EF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682F0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682F1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682F2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682F3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682F4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682F5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682F6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682F7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682F8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E682F9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="FCA38355-BD5D-445A-895C-5B6E09C41B77"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6848D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6848E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6848F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68490-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68491-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68492-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68493-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68494-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68495-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68496-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68497-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68498-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="53F076FE-F9B6-45C0-963E-BF5E38716C11"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682FA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E682FB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682FC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E682FD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682FE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E682FF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68300-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68301-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68302-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68303-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68304-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68305-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C7D4A675-E578-45F2-B637-5C1FC90FCCFA"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0004 / CMS137-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E68306-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-499c87c0385e"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Initiation and Engagement of Alcohol and Other Drug Dependence Treatment</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="6F8814A6-A26A-4FCB-8A41-902971713FCB"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="431A7185-548C-4F05-B0D3-90108E4AAD57"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for F2765AD3-E5E4-40BE-ADCF-E1CCA92B0D42-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="F2765AD3-E5E4-40BE-ADCF-E1CCA92B0D42"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for C17E38FE-4BC4-46A6-B35D-6F172C4D5F41-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="C17E38FE-4BC4-46A6-B35D-6F172C4D5F41"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68307-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68308-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68309-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6830A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6830B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6830C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6830D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6830E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6830F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68310-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68311-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68312-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="E6569B35-D2C5-464B-A608-BDB2F082FE57"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for F2765AD3-E5E4-40BE-ADCF-E1CCA92B0D42-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="F2765AD3-E5E4-40BE-ADCF-E1CCA92B0D42"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for C17E38FE-4BC4-46A6-B35D-6F172C4D5F41-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="C17E38FE-4BC4-46A6-B35D-6F172C4D5F41"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68313-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68314-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68315-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68316-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68317-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68318-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68319-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6831A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6831B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6831C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6831D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6831E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="3F6350CA-654C-4B00-8B62-EC810D1CA790"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for F2765AD3-E5E4-40BE-ADCF-E1CCA92B0D42-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="F2765AD3-E5E4-40BE-ADCF-E1CCA92B0D42"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for C17E38FE-4BC4-46A6-B35D-6F172C4D5F41-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="C17E38FE-4BC4-46A6-B35D-6F172C4D5F41"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6831F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68320-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68321-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68322-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68323-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68324-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68325-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68326-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68327-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68328-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68329-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6832A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="9242AAE1-D2C4-44A4-AF6B-7DF4C5C9BE31"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for F2765AD3-E5E4-40BE-ADCF-E1CCA92B0D42-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="F2765AD3-E5E4-40BE-ADCF-E1CCA92B0D42"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for C17E38FE-4BC4-46A6-B35D-6F172C4D5F41-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="C17E38FE-4BC4-46A6-B35D-6F172C4D5F41"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6832B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6832C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6832D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6832E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6832F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68330-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68331-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68332-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68333-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68334-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68335-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68336-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="6F8814A6-A26A-4FCB-8A41-902971713FCB"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for 2D73F57C-3C9A-49CF-B0C0-D0C512C8A10B-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="2D73F57C-3C9A-49CF-B0C0-D0C512C8A10B"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for C18A8AFF-E1DC-49E8-B84D-74DDD399A4E2-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="C18A8AFF-E1DC-49E8-B84D-74DDD399A4E2"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68337-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68338-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68339-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6833A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6833B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6833C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6833D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6833E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6833F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68340-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68341-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68342-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="68E401E4-8CB6-4A5D-A83D-58F8E902E012"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for 2D73F57C-3C9A-49CF-B0C0-D0C512C8A10B-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="2D73F57C-3C9A-49CF-B0C0-D0C512C8A10B"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for C18A8AFF-E1DC-49E8-B84D-74DDD399A4E2-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="C18A8AFF-E1DC-49E8-B84D-74DDD399A4E2"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68343-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68344-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68345-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68346-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68347-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68348-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68349-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6834A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6834B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6834C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6834D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6834E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="417055BD-AECD-49D5-8FA7-764FF1544611"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for 2D73F57C-3C9A-49CF-B0C0-D0C512C8A10B-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="2D73F57C-3C9A-49CF-B0C0-D0C512C8A10B"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for C18A8AFF-E1DC-49E8-B84D-74DDD399A4E2-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="C18A8AFF-E1DC-49E8-B84D-74DDD399A4E2"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6834F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68350-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68351-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68352-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68353-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68354-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68355-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68356-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68357-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68358-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68359-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6835A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="F1AA2B4F-003E-4770-9394-8D465715CC4D"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for 2D73F57C-3C9A-49CF-B0C0-D0C512C8A10B-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="2D73F57C-3C9A-49CF-B0C0-D0C512C8A10B"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!-- Stratifier for C18A8AFF-E1DC-49E8-B84D-74DDD399A4E2-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.20"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
                                 <code code="ASSERTION"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Assertion"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <originalText>Stratum</originalText>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                                 <reference typeCode="REFR">
                                    <externalObservation>
                                       <id root="C18A8AFF-E1DC-49E8-B84D-74DDD399A4E2"/>
                                    </externalObservation>
                                 </reference>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6835B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6835C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6835D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6835E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6835F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68360-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68361-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68362-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68363-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68364-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68365-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68366-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="431A7185-548C-4F05-B0D3-90108E4AAD57"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0028 / CMS138-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E68367-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-1b7c6bb929d0"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Preventive Care and Screening: Tobacco Use: Screening and Cessation
            Intervention</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="03EB885E-F7CF-491D-B589-76C35404A6E8"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                              codeSystem="2.16.840.1.113883.6.1"
                              codeSystemName="LOINC"
                              displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="70DBF8C1-7DD3-4413-A501-021212C44181"/>
                                 <code code="NUMER"
                                    codeSystem="2.16.840.1.113883.5.4"
                                    codeSystemName="ActCode"
                                    displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                              codeSystem="2.16.840.1.113883.6.1"
                              codeSystemName="LOINC"
                              displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C0CCE0E5-CD1A-4F94-8A75-F750EA4D4251"/>
                                 <code code="NUMER"
                                    codeSystem="2.16.840.1.113883.5.4"
                                    codeSystemName="ActCode"
                                    displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68368-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68369-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68370-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68371-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68372-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68373-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="95BF2369-1AA2-4A8B-9AF8-B1BD08A4DCA6"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68374-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68375-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68376-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68377-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68378-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68379-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="3B551ED0-E6BE-4D1B-B657-7C5CBF0F9E5E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68380-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68381-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68382-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68383-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68384-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68385-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68386-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68387-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68388-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68389-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="824B8FC1-D790-4CAF-8A68-F0607D24D14B"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68390-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68391-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68392-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68393-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68394-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68395-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68396-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68397-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="03EB885E-F7CF-491D-B589-76C35404A6E8"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                    <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68368-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68369-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68370-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68371-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68372-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68373-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="7C4B36B2-BC2F-42E2-AE60-2A3E461A441E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68374-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68375-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68376-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68377-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68378-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68379-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="AD464F50-958E-4557-8DCE-555614AEE6B8"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68380-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68381-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68382-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68383-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68384-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68385-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68386-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68387-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68388-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68389-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="6ACFDD9F-4D31-45F8-9516-6D4BCB5BEF20"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68390-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68391-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68392-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68393-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68394-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68395-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68396-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68397-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="70DBF8C1-7DD3-4413-A501-021212C44181"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                    <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68368-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68369-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68370-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68371-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68372-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68373-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C1A04121-5A7B-4279-A87C-396A80308933"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68374-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68375-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68376-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68377-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68378-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68379-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="D851152D-D00B-4A21-9E6A-A29E2E772E97"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68380-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68381-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68382-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68383-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68384-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68385-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68386-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68387-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68388-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68389-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="FE9E6C69-EB6B-4423-96FD-4C718E983522"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68390-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68391-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68392-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68393-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68394-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68395-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68396-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68397-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C0CCE0E5-CD1A-4F94-8A75-F750EA4D4251"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0101 / CMS139-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E68398-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-49b36bf238d7"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Falls: Screening for Future Fall Risk</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="714CCB1D-9F3F-403E-B636-2F2A38258D31"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68399-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6839A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6839B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6839C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6839D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6839E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6839F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683A0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683A1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683A2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683A3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683A4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="5D0D869E-9A8B-4707-9C97-03C17F156DD6"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683A5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683A6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683A7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683A8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683A9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683AA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683AB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683AC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683AD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683AE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683AF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683B0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="DEEEB2CC-75E7-487B-895C-1102042B7C97"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683B1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683B2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683B3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683B4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683B5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683B6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683B7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683B8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683B9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683BA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683BB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683BC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="D97B59F6-89D4-4635-8F38-4C8369D1776E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683BD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683BE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683BF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683C0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683C1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683C2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683C3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683C4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683C5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683C6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683C7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683C8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="714CCB1D-9F3F-403E-B636-2F2A38258D31"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF Not Applicable / CMS149-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E683C9-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5971-4eed-015a-4e002d4b4b66"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Dementia: Cognitive Assessment</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="9B6325F1-07B8-4B1C-AF92-4F4F1269C234"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683CA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683CB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683CC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683CD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683CE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683CF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683D0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683D1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683D2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683D3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683D4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683D5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="E86E2FC5-8F1F-44ED-B30D-FA66D200B1C7"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683D6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683D7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683D8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683D9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683DA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683DB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683DC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683DD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683DE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683DF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683E0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683E1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="E7337FE2-42EF-467C-9981-BF1D1F489357"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683E2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683E3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683E4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683E5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683E6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683E7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683E8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683E9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683EA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683EB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683EC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683ED-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="EE1F4525-BB1F-4299-A802-E74A297D58A7"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683EE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683EF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683F0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683F1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683F2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683F3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683F4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683F5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683F6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683F7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683F8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E683F9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="9B6325F1-07B8-4B1C-AF92-4F4F1269C234"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0022 / CMS156-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E683FA-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-49b5b1e638e3"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Use of High-Risk Medications in the Elderly</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C23BC68E-9FB9-4799-9B10-A7DC31339A03"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="8B77586E-A421-42C4-A8E2-741FDBCF60B6"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683FB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E683FC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683FD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E683FE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E683FF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68400-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68401-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68402-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68403-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68404-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68405-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68406-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="82984537-92A9-4546-BDBD-5FF8ED1A0F53"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68407-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68408-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68409-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6840A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6840B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6840C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6840D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6840E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6840F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68410-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68411-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68412-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="1786D67F-A917-4948-994A-7238EBFB513E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68460-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68461-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68462-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68463-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68464-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68465-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68466-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68467-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="A798F397-E73F-48FF-A214-01130FE31B1A"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68413-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68414-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68415-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68416-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68417-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68418-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68419-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6841A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6841B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6841C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6841D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6841E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C23BC68E-9FB9-4799-9B10-A7DC31339A03"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6841F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68420-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68421-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68422-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68423-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68424-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68425-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68426-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68427-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68428-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68429-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6842A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="0B6CB87A-9FC7-4909-85F6-83505F827BCE"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6842B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6842C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6842D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6842E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6842F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68430-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68431-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68432-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68433-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68434-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68435-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68436-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="E26E912E-C43F-4412-9495-209C6F83616F"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68460-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68461-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68462-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68463-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68464-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68465-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68466-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68467-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="E349E935-6A6C-40E3-A422-FD1759F9AAF3"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68437-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68438-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68439-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6843A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6843B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6843C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6843D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6843E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6843F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68440-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68441-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68442-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="8B77586E-A421-42C4-A8E2-741FDBCF60B6"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0712 / CMS160-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E68443-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5b4d-eebc-015b-5e87add90267"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Depression Utilization of the PHQ-9 Tool</text>
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                     <!--Performance Rate-->
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                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
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                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
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                     <!--Performance Rate-->
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                        <observation classCode="OBS" moodCode="EVN">
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                           <statusCode code="completed"/>
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                              <externalObservation classCode="OBS" moodCode="EVN">
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                        </observation>
                     </component>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
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                              displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
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                              <externalObservation classCode="OBS" moodCode="EVN">
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                                    codeSystemName="ActCode"
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                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
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                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
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                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68444-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
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                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68445-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
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                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68446-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
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                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68447-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
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                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
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                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
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                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
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                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
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                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68449-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
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                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
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                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6844A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6844B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
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                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
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                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="725F4792-0A9A-49CB-8063-9BA1A57270EC"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68444-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68445-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68446-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68447-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68449-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6844A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6844B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="A221C073-3EE6-46DE-AD68-98FB62B4590D"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68444-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68445-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68446-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68447-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68449-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6844A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6844B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6844F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="293D5F5C-912E-40AC-9C0D-4840E5F6E2B8"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68450-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68451-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68452-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68453-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68454-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68455-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68456-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68457-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68458-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68459-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6845A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6845B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="AFCACA89-68B1-4415-8D48-341237EDEC02"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count Section Deleted--> 
                           
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68450-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68451-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68452-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68453-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68454-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68455-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68456-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68457-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68458-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68459-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6845A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6845B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="CCF8EF1D-ACEB-4160-BECE-EBC6DE6AC295"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68450-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68451-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68452-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68453-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68454-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68455-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68456-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68457-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68458-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68459-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6845A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6845B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="E31974D3-5AB2-42F5-ACE3-77415D503785"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68460-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68461-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68462-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68463-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68464-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68465-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68466-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68467-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="D71F6E54-6FC7-482A-AFFB-C09C66506EB7"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68460-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68461-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68462-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68463-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68464-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68465-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68466-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68467-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="0271A3BE-3CF8-4E43-8C52-F14CF020E856"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6845D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6845F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68460-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68461-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68462-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68463-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68464-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68465-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68466-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68467-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="366C029C-D36B-4585-88D8-824C10AEED5E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68468-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68469-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6846A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6846B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68470-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68471-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68472-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68473-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="6E41C227-F801-45AC-8271-0E9325CE1481"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68468-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68469-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6846A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6846B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68470-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68471-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68472-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68473-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="7B13A87F-621F-4682-BE2C-B0900AEF6AE5"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68468-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68469-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6846A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6846B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6846F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68470-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68471-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68472-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68473-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="3948D321-8D57-4F5B-B3E1-3140D4E6CBBB"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0018 / CMS165-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E68474-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-49abb28d38b2"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Controlling High Blood Pressure</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="709D84FA-637D-42CD-8934-43C3FBAD0979"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68475-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68476-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68477-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68478-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68479-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6847A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6847B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6847C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6847D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6847E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6847F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68480-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="5C206C23-4CF9-4390-9E76-0F243FE59DCF"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68481-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68482-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68483-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68484-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68485-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68486-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68487-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68488-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68489-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6848A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6848B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6848C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="1D456B20-71F7-4477-BD23-D39600D5A095"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6848D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6848E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6848F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68490-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68491-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68492-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68493-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68494-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68495-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68496-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68497-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68498-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="9805BC7D-274C-4CCF-916A-B5BA34D62A31"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68499-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6849A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6849B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6849C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6849D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6849E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6849F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684A0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684A1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684A2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684A3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684A4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="709D84FA-637D-42CD-8934-43C3FBAD0979"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0062 / CMS134-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E684A5-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-49973dc03846"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Diabetes: Medical Attention for Nephropathy</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="0D0139E2-FBDE-4A71-9340-3FB2FF9702F2"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="5F282645-41F1-4C69-BA5C-D59AA8C41FA2"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="93A039DE-AE5D-4A61-A500-3D400AA8B273"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684BE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684BF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684C0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684C1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="BFAD5371-9B11-4520-9220-6A253A668FF8"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="0D0139E2-FBDE-4A71-9340-3FB2FF9702F2"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF Not Applicable / CMS50-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E684D6-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5971-4eed-015a-5c465a344ded"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Closing the Referral Loop: Receipt of Specialist Report</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".8"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B682F9C1-F175-4521-9C22-BF848156DD0A"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684D7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684D8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684D9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684DA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684DB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684DC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684DD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684DE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684DF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684E0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684E1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684E2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="3F74FDF3-7881-4874-B7F9-89E74B320C9E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684E3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684E4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684E5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684E6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684E7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684E8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684E9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684EA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684EB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684EC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684ED-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684EE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="218F6923-4DF2-4640-B6EA-08FBA487B099"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684EF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684F0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684F1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684F2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684F3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684F4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684F5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684F6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684F7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684F8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684F9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684FA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B682F9C1-F175-4521-9C22-BF848156DD0A"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0418 / CMS2-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E684A5-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5b4d-eebc-015b-5844953b00a3"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Preventive Care and Screening: Screening for Depression and Follow-Up Plan</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value="1.0"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="BC60B220-5594-4D4A-A6F0-60C3E345F38E"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="4DAED7C7-EAC9-43D2-B3FF-316DB539800C"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="A8FA495E-A133-44FB-9D1E-C85EE38AE9E6"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684BE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684BF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684C0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684C1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="94936F2D-C352-44CC-83A5-EE6F05813829"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="BC60B220-5594-4D4A-A6F0-60C3E345F38E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68380-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68381-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68382-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68383-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68384-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68385-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68386-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68387-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68388-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68389-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="DF74D69A-F61F-4321-AA48-85CB4371042F"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0041 / CMS147-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E684A5-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5b4d-eebc-015b-5d99505001ea"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Preventive Care and Screening: Influenza Immunization</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="FB31BD28-2229-410D-ADCB-4D191F79C465"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="6011EBDD-A997-41C6-A58C-A8CD568AAE63"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="60FF8D6C-0D6D-4BEA-9FFF-B6FF06CFC017"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="FB31BD28-2229-410D-ADCB-4D191F79C465"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68380-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68381-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68382-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68383-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68384-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68385-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68386-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68387-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68388-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68389-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="6435891F-92AB-4AD4-A175-6F4C98E1BD17"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF Not Applicable / CMS127-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E684A5-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-498df1243816"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Pneumococcal Vaccination Status for Older Adults</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="D60E94B6-8CD2-44ED-AC6C-EF41BC4B4F72"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="023E42E9-AEA8-4135-A64A-5EA1C46D4510"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="8CE9F814-6315-421C-9D92-0108CE506B3D"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684BE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684BF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684C0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684C1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="8C9FD60A-EA5F-4925-B525-9F1AB8A2FCDA"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="D60E94B6-8CD2-44ED-AC6C-EF41BC4B4F72"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF 0068 / CMS164-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E684A5-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5abd-fa46-015b-49a7a51f38a0"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value=".888889"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="EBB5F1F3-7146-4101-B19C-1FED61ADFD2F"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684A7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684A9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684AD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684AF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684B1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="0A17D1E0-AE25-4073-8D19-144F54C9774D"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684B3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684B5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684B9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684BD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B7789CEA-C4E5-49AD-8BD6-45194AC471E9"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684BE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684BF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684C0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684C1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684C5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C6-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C7-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C8-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684C9-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="50701AD6-6554-4D7F-8F83-40441EAE4813"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CA-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E684CB-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CC-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E684CD-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CE-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684CF-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D0-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E684D1-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D2-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D3-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D4-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E684D5-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="EBB5F1F3-7146-4101-B19C-1FED61ADFD2F"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
               <!--Measure Entry for NQF Not Applicable / CMS347-->
               <entry>
                  <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2016-11-01"/>
                     <id root="D5E68367-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-5b4d-eebc-015b-8245e0fa06b7"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>Statin Therapy for the Prevention and Treatment of Cardiovascular Disease</text>
                        </externalDocument>
                     </reference>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value="1.0"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="53656F0F-97C7-4537-907E-4C8D836A5853"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                              codeSystem="2.16.840.1.113883.6.1"
                              codeSystemName="LOINC"
                              displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value="1.0"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="632ECBD0-8C77-40E9-AE21-795891D5CD64"/>
                                 <code code="NUMER"
                                    codeSystem="2.16.840.1.113883.5.4"
                                    codeSystemName="ActCode"
                                    displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--Performance Rate-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2016-11-01"/>
                           <code code="72510-1"
                              codeSystem="2.16.840.1.113883.6.1"
                              codeSystemName="LOINC"
                              displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value="1.0"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="5E64B1E4-1F1A-4B3B-B148-5044F6B30760"/>
                                 <code code="NUMER"
                                    codeSystem="2.16.840.1.113883.5.4"
                                    codeSystemName="ActCode"
                                    displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68368-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68369-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68370-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68371-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68372-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68373-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B5249FB8-86D2-4633-BCF8-705EAAA35F04"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68374-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68375-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68376-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68377-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68378-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68379-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="CC35FC48-FA75-4E8C-8949-BC2B4D152F72"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68267-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68268-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68269-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6826A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6826F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68270-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68271-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68272-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="6C1F017F-F0C4-4346-B823-0BC24E3BFA9C"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68390-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68391-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68392-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68393-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68394-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68395-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68396-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68397-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="53656F0F-97C7-4537-907E-4C8D836A5853"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                    <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68380-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68381-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68382-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68383-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68384-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68385-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68386-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68387-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68388-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68389-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="F13A488B-6F7F-45E3-8216-1A7A679ADBFD"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                    <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68368-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68369-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68370-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68371-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68372-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68373-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="F1948A70-E9EE-427F-9D1F-9489B902DFAB"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68374-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68375-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68376-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68377-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68378-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68379-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C44EA250-22FE-4FF1-835B-BD718A9E71FA"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68267-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68268-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68269-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6826A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6826F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68270-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68271-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68272-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="C5AA9EF4-FC68-4844-A45A-4985E81DA8A1"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68390-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68391-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68392-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68393-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68394-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68395-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68396-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68397-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="632ECBD0-8C77-40E9-AE21-795891D5CD64"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                    <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68380-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68381-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68382-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68383-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68384-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68385-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68386-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68387-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68388-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68389-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B55F6B97-ABF6-4F44-90C5-D02D99DE55DA"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--IPOP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--IPOP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68368-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68369-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6836B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6836F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68370-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68371-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68372-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68373-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--IPOP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="E44CE0A2-A08E-48CC-B022-5B54F808FB61"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENOM Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENOM Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1000"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68374-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68375-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68376-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68377-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="500"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68378-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68379-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6837B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6837F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="250"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENOM Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="01B3E154-5F42-4905-BDDD-E2A34B8C1DB2"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--DENEX Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEX Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68267-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68268-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68269-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6826A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6826E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6826F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68270-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68271-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68272-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEX Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="1354D37B-998F-434E-8039-99F6CCC987FD"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                     <!--NUMER Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--NUMER Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="800"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6838D-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6838F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="400"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68390-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68391-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68392-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68393-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68394-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68395-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68396-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68397-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="200"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--NUMER Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="5E64B1E4-1F1A-4B3B-B148-5044F6B30760"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                    <!--DENEXCEP Population-->
                     <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2016-11-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEXCEP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                           <!--DENEXCEP Count-->
                           <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="100"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Male-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68380-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Gender Supplemental Data Element - Female-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68381-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Not Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68382-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Not Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Ethnicity Supplemental Data Element - Hispanic or Latino-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68383-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2135-2"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic or Latino"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="50"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Black or African American-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68384-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black or African American"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - White-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68385-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2106-3"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Asian-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68386-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - American Indian or Alaska Native-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68387-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="1002-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="American Indian or Alaska Native"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Native Hawaiian or Other Pacific Islander-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2076-8"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Native Hawaiian or Other Pacific Islander"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Race Supplemental Data Element - Other Race-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68448-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                    codeSystem="2.16.840.1.113883.6.1"
                                    codeSystemName="LOINC"
                                    displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                    code="2131-1"
                                    codeSystem="2.16.840.1.113883.6.238"
                                    codeSystemName="Race &amp; Ethnicity - CDC"
                                    displayName="Other Race"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                          codeSystem="2.16.840.1.113883.5.4"
                                          codeSystemName="ActCode"
                                          displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                          codeSystem="2.16.840.1.113883.5.84"
                                          codeSystemName="ObservationMethod"
                                          displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>                           
                           <!--Payer Supplemental Data Element - Medicare-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68388-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicare"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Medicaid-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E68389-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="B"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Medicaid"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Private Health Insurance-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="C"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Private Health Insurance"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--Payer Supplemental Data Element - Other-->
                           <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2016-11-01"/>
                                 <id root="D5E6838B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20180101"/>
                                    <high value="20181231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="D"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Other"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="25"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                           <!--DENEXCEP Population ID from eMeasure-->			
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="3D0BD8CB-CB77-407A-A367-080F53D880DD"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
            </section>
         </component>
      </structuredBody>
   </component>
</ClinicalDocument>
