cqm-models 2.0.1 → 3.0.0

data/lib/generate_models.rb

@@ -1,10 +1,14 @@
-#! /usr/bin/env ruby
+# TODO: May need to add Entity casting to Any if entities need to be handled
+# TODO: HQMF OIDS - Specifically RelatedPerson
+
+# ! /usr/bin/env ruby
 require 'nokogiri'
 require 'active_support/all'
 require 'rails/generators'
 require 'erb'
 require 'json'
 require_relative './generators/custom_mongo/model_generator'
+require_relative './generator_helpers'
 
 ###############################################################################
 # Helpers
@@ -13,10 +17,11 @@ require_relative './generators/custom_mongo/model_generator'
 # Lookups for modelinfo 'element types' to Ruby+Mongoid types.
 TYPE_LOOKUP_RB = {
   'System.DateTime': 'DateTime',
+  'System.Date': 'Date',
   'System.Integer': 'Integer',
   'System.Quantity': 'Quantity',
   'System.Code': 'Code',
-  'QDM.Id': 'Id',
+  'QDM.Identifier': 'Identifier',
   'System.Any': 'Any',
   'interval<System.DateTime>': 'Interval',
   'interval<System.Quantity>': 'Interval',
@@ -25,6 +30,8 @@ TYPE_LOOKUP_RB = {
   'list<QDM.Id>': 'Array',
   'list<QDM.ResultComponent>': 'Array',
   'list<QDM.FacilityLocation>': 'Array',
+  'list<QDM.DiagnosisComponent>': 'Array',
+  'list<System.String>': 'Array',
   'list<System.Code>': 'Array',
   'System.Decimal': 'Float',
   'System.Time': 'Time',
@@ -34,11 +41,12 @@ TYPE_LOOKUP_RB = {
 # Lookups for modelinfo 'element types' to JavaScript+Mongoose types.
 TYPE_LOOKUP_JS = {
   'System.DateTime': 'DateTime',
+  'System.Date': 'QDMDate',
   'System.Integer': 'Number',
   'System.Quantity': 'Quantity',
   'System.Code': 'Code',
   'System.Any': 'Any',
-  'QDM.Id': 'IdSchema',
+  'QDM.Identifier': 'IdentifierSchema',
   'interval<System.DateTime>': 'Interval',
   'interval<System.Quantity>': 'Interval',
   'list<QDM.Component>': '[]',
@@ -46,6 +54,8 @@ TYPE_LOOKUP_JS = {
   'list<QDM.Id>': '[]',
   'list<QDM.ResultComponent>': '[]',
   'list<QDM.FacilityLocation>': '[]',
+  'list<QDM.DiagnosisComponent>': '[]',
+  'list<System.String>': '[]',
   'list<System.Code>': '[Code]',
   'System.Decimal': 'Number',
   'System.Time': 'DateTime',
@@ -129,7 +139,10 @@ modelinfo.xpath('//ns4:typeInfo').each do |type|
     hqmfOid_to_datatype_map[extra_info['hqmf_oid']] = datatype_name if extra_info['hqmf_oid'].present?
   end
 
-  attributes << { name: 'qdmVersion', type: 'System.String', default: qdm_version }
+  # Add the qdmVersion attribute unless the base type is one that will provide it
+  unless ['QDM.Entity', 'QDM.Component'].include? type['baseType']
+    attributes << { name: 'qdmVersion', type: 'System.String', default: qdm_version }
+  end
 
   datatypes[datatype_name] = { attributes: attributes }
 end
@@ -185,7 +198,7 @@ file_path = 'app/assets/javascripts/'
 file_path = 'tmp/' if IS_TEST
 datatype_custom_templates = {
   QDMPatient: 'templates/patient_template.js.erb',
-  Id: 'templates/id_template.js.erb'
+  Identifier: 'templates/identifier_template.js.erb'
 }
 
 datatypes.each do |datatype, info|
@@ -195,8 +208,8 @@ datatypes.each do |datatype, info|
     renderer = ERB.new(File.read(datatype_custom_templates[datatype.to_sym]), nil, '-')
   end
   attrs_with_extras = info[:attributes] # this field gets used in the template
-  # Custom datatypes don't need _type
-  unless datatype_custom_templates.key?(datatype.to_sym)
+  # QDMPatients don't need _type
+  unless datatype.to_s == 'QDMPatient'
     attrs_with_extras << { name: '_type', type: 'System.String', default: "QDM::#{datatype.underscore.camelize}" } # Add Class
   end
   puts '  ' + file_path + datatype + '.js'
@@ -219,6 +232,14 @@ unless IS_TEST
   contents = File.read(file_path)
   contents.gsub!(%r{\/FacilityLocation.js}, '/attributes/FacilityLocation.js')
   contents.gsub!(%r{\/Component.js}, '/attributes/Component.js')
+  contents.gsub!(%r{\/CarePartner.js}, '/attributes/CarePartner.js')
+  contents.gsub!(%r{\/DiagnosisComponent.js}, '/attributes/DiagnosisComponent.js')
+  contents.gsub!(%r{\/Entity.js}, '/attributes/Entity.js')
+  contents.gsub!(%r{\/Organization.js}, '/attributes/Organization.js')
+  contents.gsub!(%r{\/PatientEntity.js}, '/attributes/PatientEntity.js')
+  contents.gsub!(%r{\/Practitioner.js}, '/attributes/Practitioner.js')
+  contents.gsub!(%r{\/ResultComponent.js}, '/attributes/ResultComponent.js')
+  contents.gsub!(%r{\/Identifier.js}, '/attributes/Identifier.js')
   File.open(file_path, 'w') { |file| file.puts contents }
 end
 
@@ -243,14 +264,16 @@ Dir.glob(ruby_models_path + '*.rb').each do |file_name|
   # Make facilityLocation of type QDM::FacilityLocation
   contents.gsub!(/field :facilityLocation, type: Code/, 'field :facilityLocation, type: QDM::FacilityLocation')
 
-  # Make relatedTo embeds_many instead of field
-  contents.gsub!(/  field :relatedTo, type: Array\n/, "  embeds_many :relatedTo, class_name: 'QDM::Id'\n")
-
-  # Make prescriberId embeds_many instead of field
-  contents.gsub!(/  field :prescriberId, type: Id\n/, "  embeds_one :prescriberId, class_name: 'QDM::Id'\n")
-
-  # Make dispenserId embeds_many instead of field
-  contents.gsub!(/  field :dispenserId, type: Id\n/, "  embeds_one :dispenserId, class_name: 'QDM::Id'\n")
+  # Make Entity subclasses of type QDM::Entity
+  contents.gsub!(/field :participant/, "embeds_one :participant, class_name: 'QDM::Entity'")
+  contents.gsub!(/field :sender/, "embeds_one :sender, class_name: 'QDM::Entity'")
+  contents.gsub!(/field :recipient/, "embeds_one :recipient, class_name: 'QDM::Entity'")
+  contents.gsub!(/field :recorder/, "embeds_one :recorder, class_name: 'QDM::Entity'")
+  contents.gsub!(/field :performer/, "embeds_one :performer, class_name: 'QDM::Entity'")
+  contents.gsub!(/field :requester/, "embeds_one :requester, class_name: 'QDM::Entity'")
+  contents.gsub!(/field :prescriber/, "embeds_one :prescriber, class_name: 'QDM::Entity'")
+  contents.gsub!(/field :dispenser/, "embeds_one :dispenser, class_name: 'QDM::Entity'")
+  contents.gsub!(/field :identifier, type: Identifier/, "embeds_one :identifier, class_name: 'QDM::Identifier'")
 
   File.open(file_name, 'w') { |file| file.puts contents }
 end
@@ -258,28 +281,37 @@ end
 # JavaScript post processing
 js_models_path = 'app/assets/javascripts/'
 js_models_path = 'tmp/' if IS_TEST
-files = Dir.glob(js_models_path + '*.js').each do |file_name|
+Dir.glob(js_models_path + '*.js').each do |file_name|
   contents = File.read(file_name)
 
   # Replace 'Any' type placeholder (these attributes could point to anything).
   contents.gsub!(/: Any/, ': Any')
 
-  # Component, Facility, and Id types
+  # Component, Facility, Diagnoses
   contents.gsub!(/facilityLocations: \[\]/, 'facilityLocations: [FacilityLocationSchema]')
   contents.gsub!(/facilityLocation: Code/, 'facilityLocation: FacilityLocationSchema')
   contents.gsub!(/components: \[\]/, 'components: [ComponentSchema]')
   contents.gsub!(/component: Code/, 'component: ComponentSchema')
-  contents.gsub!(/relatedTo: \[\]/, 'relatedTo: [IdSchema]')
+  contents.gsub!(/diagnoses: \[\]/, 'diagnoses: [DiagnosisComponentSchema]')
+  contents.gsub!(/sender: Any/, 'sender: AnyEntity')
+  contents.gsub!(/recipient: Any/, 'recipient: AnyEntity')
+  contents.gsub!(/participant: Any/, 'participant: AnyEntity')
+  contents.gsub!(/recorder: Any/, 'recorder: AnyEntity')
+  contents.gsub!(/performer: Any/, 'performer: AnyEntity')
+  contents.gsub!(/requester: Any/, 'requester: AnyEntity')
+  contents.gsub!(/prescriber: Any/, 'prescriber: AnyEntity')
+  contents.gsub!(/dispenser: Any/, 'dispenser: AnyEntity')
+  contents.gsub!(/relatedTo: \[\]/, 'relatedTo: [String]')
 
   File.open(file_name, 'w') { |file| file.puts contents }
 end
 
 # Inject Ruby Patient model extensions
-template = File.read('templates/patient_extension.rb.erb')
-renderer = ERB.new(template, nil, '-')
-rb_patient = File.read(ruby_models_path + 'patient.rb')
-rb_patient.gsub!(/end/, renderer.result(binding))
-File.open(ruby_models_path + 'patient.rb', 'w') { |file| file.write(rb_patient) }
+GeneratorHelpers.inject_extension('templates/patient_extension.rb.erb', ruby_models_path + 'patient.rb')
+# Inject Ruby Entity model extensions
+if datatypes['Entity']
+  GeneratorHelpers.inject_extension('templates/entity_extension.rb.erb', ruby_models_path + 'entity.rb')
+end
 
 # Make sure Ruby models are in the correct module
 ruby_models_path = 'app/models/qdm/'
@@ -288,23 +320,28 @@ Dir.glob(ruby_models_path + '*.rb').each do |file_name|
   contents = File.read(file_name)
   contents.gsub!('Qdm', 'QDM')
   contents.gsub!('Code', 'QDM::Code')
-  contents.gsub!(' Id', ' QDM::Id')
+  contents.gsub!('Date\n', 'QDM::Date\n') # \n so DateTime does not get overwritten
+  contents.gsub!(' Identifier', ' QDM::Identifier')
   contents.gsub!('Interval', 'QDM::Interval')
   contents.gsub!('Quantity', 'QDM::Quantity')
   File.open(file_name, 'w') { |file| file.puts contents }
 end
 
+types_not_inherited_by_data_element = ['/patient.rb', '/identifier.rb', '/component.rb', '/facility_location.rb', '/entity.rb', '/organization.rb', '/patient_entity.rb', '/practitioner.rb', '/care_partner.rb', '/diagnosis_component.rb', '/result_component.rb']
+types_inherited_by_attribute = ['/component', '/facility_location', '/entity', '/diagnosis_component', '/identifier']
+types_inherited_by_entity = ['/patient_entity', '/care_partner', '/practitioner', '/organization']
+types_inherited_by_component = ['/result_component']
+
 # Set embedded in for datatypes
 Dir.glob(ruby_models_path + '*.rb').each do |file_name|
   contents = File.read(file_name)
-  # TODO: Might be able to make this list by finding baseType="System.Any" in model info file instead of hard-coding.
-  if File.basename(file_name) == 'id.rb'
+  if ['entity.rb', 'organization.rb', 'patient_entity.rb', 'practitioner.rb', 'care_partner.rb'].any? { |sub_string| sub_string.include?(File.basename(file_name)) }
     contents.gsub!(/  include Mongoid::Document\n/, "  include Mongoid::Document\n  embedded_in :data_element\n")
-  else
-    not_embedded_in_patient_files = ['patient.rb', 'component.rb', 'facility_location.rb']
-    next if not_embedded_in_patient_files.include?(File.basename(file_name))
-    contents.gsub!(/  include Mongoid::Document\n/, "  include Mongoid::Document\n  embedded_in :patient\n")
+    File.open(file_name, 'w') { |file| file.puts contents }
   end
+  # TODO: Might be able to make this list by finding baseType="System.Any" in model info file instead of hard-coding.
+  next if types_not_inherited_by_data_element.any? { |sub_string| sub_string.include?(File.basename(file_name)) }
+  contents.gsub!(/  include Mongoid::Document\n/, "  include Mongoid::Document\n  embedded_in :patient\n")
   File.open(file_name, 'w') { |file| file.puts contents }
 end
 
@@ -312,8 +349,10 @@ end
 Dir.glob(ruby_models_path + '*.rb').each do |file_name|
   contents = ''
   File.open(file_name).each_line.with_index do |line, index|
-    line.gsub!("\n", " < DataElement\n") if index.zero? && !file_name.include?('/patient.rb') && !file_name.include?('/id.rb') && !file_name.include?('/component.rb') && !file_name.include?('/facility_location.rb')
-    line.gsub!("\n", " < Attribute\n") if index.zero? && (file_name.include?('/component.rb') || file_name.include?('/facility_location.rb'))
+    line.gsub!("\n", " < DataElement\n") if index.zero? && types_not_inherited_by_data_element.none? { |sub_string| file_name.include?(sub_string) }
+    line.gsub!("\n", " < Attribute\n") if index.zero? && types_inherited_by_attribute.any? { |sub_string| file_name.include?(sub_string) }
+    line.gsub!("\n", " < Entity\n") if index.zero? && types_inherited_by_entity.any? { |sub_string| file_name.include?(sub_string) }
+    line.gsub!("\n", " < Component\n") if index.zero? && types_inherited_by_component.any? { |sub_string| file_name.include?(sub_string) }
     contents += "module QDM\n  # #{file_name}\n  #{line.gsub('QDM::', '')}" if index.zero?
     contents += '  ' unless index.zero? || line.blank?
     contents += line unless index.zero?
@@ -328,13 +367,13 @@ if IS_TEST
   Dir.mkdir(ruby_models_path + 'attributes')
   Dir.mkdir(js_models_path + 'attributes')
 end
-if File.exist?(ruby_models_path + 'facility_location.rb')
-  File.rename ruby_models_path + 'facility_location.rb', ruby_models_path + 'attributes/facility_location.rb'
-  File.rename js_models_path + 'FacilityLocation.js', js_models_path + 'attributes/FacilityLocation.js'
-end
-if File.exist?(ruby_models_path + 'component.rb')
-  File.rename ruby_models_path + 'component.rb', ruby_models_path + 'attributes/component.rb'
-  File.rename js_models_path + 'Component.js', js_models_path + 'attributes/Component.js'
+
+attribute_list = types_inherited_by_attribute + types_inherited_by_component + types_inherited_by_entity
+existing_types_moving_to_attributes = attribute_list.select { |sub_string| File.exist?(ruby_models_path + sub_string + '.rb') }
+existing_types_moving_to_attributes.each do |type|
+  modified_name = type[1..-1]
+  File.rename ruby_models_path + modified_name + '.rb', ruby_models_path + 'attributes/' + modified_name + '.rb'
+  File.rename js_models_path + modified_name.camelize + '.js', js_models_path + 'attributes/' + modified_name.camelize + '.js'
 end
 
 puts 'Create hqmfOid to datatype map as json file'

data/lib/generate_patients.rb

@@ -8,7 +8,7 @@ module QDM
   module PatientGeneration
     # Generates patient(s) with fully-loaded dataElements if new_patient_for_each_type is false then a
     # single patient will be returned that has every data element on it
-    def self.generate_exhastive_data_element_patients(new_patient_for_each_type = true, model_info_file = 'qdm-modelinfo-5.4.xml')
+    def self.generate_exhastive_data_element_patients(new_patient_for_each_type = true, model_info_file = 'qdm-modelinfo-5.5.xml')
       datatypes = get_datatypes(File.join(File.dirname(__FILE__), "../modelinfo/#{model_info_file}"))
       patients = []
       cqm_patient = nil
@@ -49,7 +49,7 @@ module QDM
       modelinfo.xpath('//ns4:typeInfo').each do |type|
         # Grab the name of this QDM datatype
         datatype_name = type.attributes['name'].value.split('.').last
-        exclusion_array = %w[Component Id Patient ResultComponent FacilityLocation]
+        exclusion_array = %w[Component Identifier Patient ResultComponent FacilityLocation]
         # Store datatype and its attributes (reject irrelevant datatypes)
         next if datatype_name.include?('Negative') || datatype_name.include?('Positive') ||
                 datatype_name.include?('QDMBaseType') || (exclusion_array.include? datatype_name)
@@ -112,7 +112,7 @@ module QDM
         data_element[field_name] = QDM::BaseTypeGeneration.generate_date_interval_field
       elsif field_type == QDM::Quantity
         data_element[field_name] = QDM::BaseTypeGeneration.generate_quantity
-      elsif field_type == QDM::Id
+      elsif field_type == QDM::Identifier
         data_element[field_name] = QDM::BaseTypeGeneration.generate_qdm_id
       elsif field_type == Integer
         # TODO: randomize value

data/lib/generate_types.rb

@@ -55,7 +55,7 @@ module QDM
 
     def self.generate_qdm_id
       # TODO: randomize values
-      qdm_id = QDM::Id.new
+      qdm_id = QDM::Identifier.new
       qdm_id.value = 'TestValue'
       qdm_id.namingSystem = 'TestNamingSystem'
       qdm_id

data/lib/generator_helpers.rb

@@ -0,0 +1,14 @@
+require 'erb'
+require 'active_support/all'
+
+# Helper file for generating classes
+module GeneratorHelpers
+  def self.inject_extension(extension_path, file_path)
+    # Inject Ruby Patient model extensions
+    template = File.read(extension_path)
+    renderer = ERB.new(template, nil, '-')
+    rb_model = File.read(file_path)
+    rb_model.gsub!(/end/, renderer.result(binding))
+    File.open(file_path, 'w') { |file| file.write(rb_model) }
+  end
+end

data/modelinfo/qdm-modelinfo-5.5.xml

@@ -0,0 +1,982 @@
+<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
+<ns4:modelInfo name="QDM" url="urn:healthit-gov:qdm:v5_5" targetQualifier="qdm" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:ns4="urn:hl7-org:elm-modelinfo:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
+               patientClassName="QDM.Patient" patientClassIdentifier="Patient" patientBirthDatePropertyName="birthDatetime" version="5.5" strictRetrieveTyping="true">
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Patient" baseType="System.Any" identifier="Patient">
+        <ns4:element name="birthDatetime" type="System.DateTime"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Identifier" baseType="System.Any">
+        <ns4:element name="namingSystem" type="System.String"/>
+        <ns4:element name="value" type="System.String"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Entity" baseType="System.Any" retrievable="false">
+        <ns4:element name="id" type="System.String"/>
+        <ns4:element name="identifier" type="QDM.Identifier"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientEntity" baseType="QDM.Entity" retrievable="false">
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.CarePartner" baseType="QDM.Entity" retrievable="false">
+        <ns4:element name="relationship" type="System.Code"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.RelatedPerson" baseType="QDM.QDMBaseType" label="Related Person" retrievable="true" primaryCodePath="code">
+        <ns4:element name="identifier" type="QDM.Identifier"/>
+        <ns4:element name="linkedPatientId" type="System.String"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+        <ns4:targetContextRelationship context="Patient" relatedKeyElement="linkedPatientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Practitioner" baseType="QDM.Entity" retrievable="false">
+        <ns4:element name="role" type="System.Code"/>
+        <ns4:element name="specialty" type="System.Code"/>
+        <ns4:element name="qualification" type="System.Code"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Organization" baseType="QDM.Entity" retrievable="false">
+        <ns4:element name="type" type="System.Code"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PhysicalExamOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="anatomicalLocationSite" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Participation" retrievable="true" baseType="QDM.QDMBaseType" label="Participation" primaryCodePath="code">
+        <ns4:element name="participationPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCharacteristicSex" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Characteristic Sex" primaryCodePath="code">
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.CareGoal" retrievable="true" baseType="QDM.QDMBaseType" label="Care Goal" primaryCodePath="code">
+        <ns4:element name="statusDate" type="System.Date"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="relatedTo" type="list&lt;System.String&gt;"/>
+        <ns4:element name="targetOutcome"> <!--type="System.Any">-->
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Integer"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Decimal"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Code"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Quantity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Ratio"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCharacteristic" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Characteristic" primaryCodePath="code">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCharacteristicEthnicity" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Characteristic Ethnicity" primaryCodePath="code">
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCharacteristicRace" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Characteristic Race" primaryCodePath="code">
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.LaboratoryTestPerformed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="status" type="System.Code"/>
+        <ns4:element name="method" type="System.Code"/>
+        <ns4:element name="result"> <!-- type="System.Any">-->
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Integer"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Decimal"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Code"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Quantity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Ratio"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="resultDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="referenceRange" type="interval&lt;System.Quantity&gt;"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="components" type="list&lt;QDM.ResultComponent&gt;"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Symptom" retrievable="true" baseType="QDM.QDMBaseType" label="Symptom" primaryCodePath="code">
+        <ns4:element name="prevalencePeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="severity" type="System.Code"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.MedicationAdministered" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="frequency" type="System.Code"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.ProcedureRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="anatomicalLocationSite" type="System.Code"/>
+        <ns4:element name="rank" type="System.Integer"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.EncounterPerformed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="admissionSource" type="System.Code"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="dischargeDisposition" type="System.Code"/>
+        <ns4:element name="facilityLocations" type="list&lt;QDM.FacilityLocation&gt;"/>
+        <ns4:element name="diagnoses" type="list&lt;QDM.DiagnosisComponent&gt;"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="lengthOfStay" type="System.Quantity"/>
+        <ns4:element name="priority" type="System.Code"/>
+        <ns4:element name="participant">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Diagnosis" retrievable="true" baseType="QDM.QDMBaseType" label="Diagnosis" primaryCodePath="code">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="prevalencePeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="anatomicalLocationSite" type="System.Code"/>
+        <ns4:element name="severity" type="System.Code"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.CommunicationPerformed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="category" type="System.Code"/>
+        <ns4:element name="medium" type="System.Code"/>
+        <ns4:element name="sender">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="recipient">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="relatedTo" type="list&lt;System.String&gt;"/>
+        <ns4:element name="sentDatetime" type="System.DateTime"/>
+        <ns4:element name="receivedDatetime" type="System.DateTime"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.AssessmentPerformed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="method" type="System.Code"/>
+        <ns4:element name="result"> <!-- type="System.Any">-->
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Integer"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Decimal"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Code"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Quantity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Ratio"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="DateTime"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Time"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="components" type="list&lt;QDM.Component&gt;"/>
+        <ns4:element name="relatedTo" type="list&lt;System.String&gt;"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCharacteristicClinicalTrialParticipant" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Characteristic Clinical Trial Participant" primaryCodePath="code">
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.DeviceOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.DiagnosticStudyPerformed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="result"> <!--type="System.Any">-->
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Integer"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Decimal"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Code"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Quantity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Ratio"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="resultDatetime" type="System.DateTime"/>
+        <ns4:element name="status" type="System.Code"/>
+        <ns4:element name="method" type="System.Code"/>
+        <ns4:element name="facilityLocation" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="components" type="list&lt;QDM.Component&gt;"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.InterventionOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.FamilyHistory" retrievable="true" baseType="QDM.QDMBaseType" label="Family History" primaryCodePath="code">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relationship" type="System.Code"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.Component" retrievable="false" baseType="System.Any">
+        <ns4:element name="code" type="System.Code"/>
+        <ns4:element name="result"> <!-- type="System.Any">-->
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Integer"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Decimal"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Code"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Quantity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Ratio"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="DateTime"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Time"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.DiagnosisComponent" retrievable="false" baseType="System.Any">
+        <ns4:element name="code" type="System.Code"/>
+        <ns4:element name="presentOnAdmissionIndicator" type="System.Code"/>
+        <ns4:element name="rank" type="System.Integer"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.ResultComponent" retrievable="false" baseType="QDM.Component">
+        <ns4:element name="referenceRange" type="interval&lt;System.Quantity&gt;"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.FacilityLocation" retrievable="false" baseType="System.Any">
+        <ns4:element name="code" type="System.Code"/>
+        <ns4:element name="locationPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.MedicationActive" retrievable="true" baseType="QDM.QDMBaseType" label="Medication, Active" primaryCodePath="code">
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="frequency" type="System.Code"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.LaboratoryTestOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.DiagnosticStudyOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.SubstanceOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="supply" type="System.Quantity"/>
+        <ns4:element name="frequency" type="System.Code"/>
+        <ns4:element name="refills" type="System.Integer"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCharacteristicPayer" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Characteristic Payer" primaryCodePath="code">
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCharacteristicExpired" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Characteristic Expired" primaryCodePath="code">
+        <ns4:element name="expiredDatetime" type="System.DateTime"/>
+        <ns4:element name="cause" type="System.Code"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.AssessmentOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.AssessmentRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.ImmunizationAdministered" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.SubstanceAdministered" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="frequency" type="System.Code"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.EncounterOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="facilityLocation" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="priority" type="System.Code"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.EncounterRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="facilityLocation" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.ProcedurePerformed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="method" type="System.Code"/>
+        <ns4:element name="result"> <!--type="System.Any">-->
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Integer"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Decimal"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Code"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Quantity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Ratio"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="status" type="System.Code"/>
+        <ns4:element name="anatomicalLocationSite" type="System.Code"/>
+        <ns4:element name="rank" type="System.Integer"/>
+        <ns4:element name="priority" type="System.Code"/>
+        <ns4:element name="incisionDatetime" type="System.DateTime"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="components" type="list&lt;QDM.Component&gt;"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.AllergyIntolerance" retrievable="true" baseType="QDM.QDMBaseType" label="Allergy/Intolerance" primaryCodePath="code">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="prevalencePeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="type" type="System.Code"/>
+        <ns4:element name="severity" type="System.Code"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PhysicalExamRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="anatomicalLocationSite" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCharacteristicBirthdate" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Characteristic Birthdate" primaryCodePath="code">
+        <ns4:element name="birthDatetime" type="System.DateTime"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.AdverseEvent" retrievable="true" baseType="QDM.QDMBaseType" label="Adverse Event" primaryCodePath="code">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="severity" type="System.Code"/>
+        <ns4:element name="facilityLocation" type="System.Code"/>
+        <ns4:element name="type" type="System.Code"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.QDMBaseType" retrievable="false" baseType="System.Any">
+        <ns4:element name="id" type="System.String"/>
+        <ns4:element name="code" type="System.Code"/>
+        <ns4:element name="patientId" type="System.String"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.DeviceRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.DeviceApplied" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="anatomicalLocationSite" type="System.Code"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.MedicationDischarge" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="refills" type="System.Integer"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="supply" type="System.Quantity"/>
+        <ns4:element name="frequency" type="System.Code"/>
+        <ns4:element name="daysSupplied" type="System.Integer"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="prescriber">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.InterventionPerformed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="result"> <!-- type="System.Any">-->
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Integer"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Decimal"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Code"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Quantity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Ratio"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="status" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.LaboratoryTestRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.MedicationDispensed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="refills" type="System.Integer"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="supply" type="System.Quantity"/>
+        <ns4:element name="frequency" type="System.Code"/>
+        <ns4:element name="daysSupplied" type="System.Integer"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="prescriber">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="dispenser">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.DiagnosticStudyRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.ImmunizationOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="activeDatetime" type="System.DateTime"/>
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="supply" type="System.Quantity"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PatientCareExperience" retrievable="true" baseType="QDM.QDMBaseType" label="Patient Care Experience" primaryCodePath="code">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.ProviderCareExperience" retrievable="true" baseType="QDM.QDMBaseType" label="Provider Care Experience" primaryCodePath="code">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="recorder">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.ProcedureOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="anatomicalLocationSite" type="System.Code"/>
+        <ns4:element name="rank" type="System.Integer"/>
+        <ns4:element name="priority" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.MedicationOrder" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="refills" type="System.Integer"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="supply" type="System.Quantity"/>
+        <ns4:element name="frequency" type="System.Code"/>
+        <ns4:element name="daysSupplied" type="System.Integer"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="setting" type="System.Code"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="prescriber">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.SubstanceRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="dosage" type="System.Quantity"/>
+        <ns4:element name="frequency" type="System.Code"/>
+        <ns4:element name="refills" type="System.Integer"/>
+        <ns4:element name="route" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.InterventionRecommended" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="requester">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ClassInfo" name="QDM.PhysicalExamPerformed" retrievable="false" baseType="QDM.QDMBaseType">
+        <ns4:element name="authorDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantDatetime" type="System.DateTime"/>
+        <ns4:element name="relevantPeriod" type="interval&lt;System.DateTime&gt;"/>
+        <ns4:element name="reason" type="System.Code"/>
+        <ns4:element name="method" type="System.Code"/>
+        <ns4:element name="result"> <!--type="System.Any">-->
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Integer"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Code"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Date"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="DateTime"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Decimal"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Quantity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Ratio"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="System" name="Time"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:element name="anatomicalLocationSite" type="System.Code"/>
+        <ns4:element name="negationRationale" type="System.Code"/>
+        <ns4:element name="components" type="list&lt;QDM.Component&gt;"/>
+        <ns4:element name="performer">
+            <ns4:typeSpecifier xsi:type="ns4:ChoiceTypeSpecifier">
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="PatientEntity"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="CarePartner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Practitioner"/>
+                <ns4:choice xsi:type="ns4:NamedTypeSpecifier" modelName="QDM" name="Organization"/>
+            </ns4:typeSpecifier>
+        </ns4:element>
+        <ns4:contextRelationship context="Patient" relatedKeyElement="patientId"/>
+    </ns4:typeInfo>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveAssessmentOrder" retrievable="true" baseType="QDM.AssessmentOrder" identifier="PositiveAssessmentOrder" label="Assessment, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeAssessmentOrder" retrievable="true" baseType="QDM.AssessmentOrder" identifier="NegativeAssessmentOrder" label="Assessment, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveAssessmentRecommended" retrievable="true" baseType="QDM.AssessmentRecommended" identifier="PositiveAssessmentRecommended" label="Assessment, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeAssessmentRecommended" retrievable="true" baseType="QDM.AssessmentRecommended" identifier="NegativeAssessmentRecommended" label="Assessment, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveAssessmentPerformed" retrievable="true" baseType="QDM.AssessmentPerformed" identifier="PositiveAssessmentPerformed" label="Assessment, Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeAssessmentPerformed" retrievable="true" baseType="QDM.AssessmentPerformed" identifier="NegativeAssessmentPerformed" label="Assessment, Not Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveCommunicationPerformed" retrievable="true" baseType="QDM.CommunicationPerformed" identifier="PositiveCommunicationPerformed" label="Communication, Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeCommunicationPerformed" retrievable="true" baseType="QDM.CommunicationPerformed" identifier="NegativeCommunicationPerformed" label="Communication, Not Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveDeviceOrder" retrievable="true" baseType="QDM.DeviceOrder" identifier="PositiveDeviceOrder" label="Device, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeDeviceOrder" retrievable="true" baseType="QDM.DeviceOrder" identifier="NegativeDeviceOrder" label="Device, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveDeviceRecommended" retrievable="true" baseType="QDM.DeviceRecommended" identifier="PositiveDeviceRecommended" label="Device, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeDeviceRecommended" retrievable="true" baseType="QDM.DeviceRecommended" identifier="NegativeDeviceRecommended" label="Device, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveDeviceApplied" retrievable="true" baseType="QDM.DeviceApplied" identifier="PositiveDeviceApplied" label="Device, Applied" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeDeviceApplied" retrievable="true" baseType="QDM.DeviceApplied" identifier="NegativeDeviceApplied" label="Device, Not Applied" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveDiagnosticStudyOrder" retrievable="true" baseType="QDM.DiagnosticStudyOrder" identifier="PositiveDiagnosticStudyOrder" label="Diagnostic Study, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeDiagnosticStudyOrder" retrievable="true" baseType="QDM.DiagnosticStudyOrder" identifier="NegativeDiagnosticStudyOrder" label="Diagnostic Study, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveDiagnosticStudyRecommended" retrievable="true" baseType="QDM.DiagnosticStudyRecommended" identifier="PositiveDiagnosticStudyRecommended" label="Diagnostic Study, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeDiagnosticStudyRecommended" retrievable="true" baseType="QDM.DiagnosticStudyRecommended" identifier="NegativeDiagnosticStudyRecommended" label="Diagnostic Study, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveDiagnosticStudyPerformed" retrievable="true" baseType="QDM.DiagnosticStudyPerformed" identifier="PositiveDiagnosticStudyPerformed" label="Diagnostic Study, Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeDiagnosticStudyPerformed" retrievable="true" baseType="QDM.DiagnosticStudyPerformed" identifier="NegativeDiagnosticStudyPerformed" label="Diagnostic Study, Not Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveEncounterOrder" retrievable="true" baseType="QDM.EncounterOrder" identifier="PositiveEncounterOrder" label="Encounter, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeEncounterOrder" retrievable="true" baseType="QDM.EncounterOrder" identifier="NegativeEncounterOrder" label="Encounter, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveEncounterRecommended" retrievable="true" baseType="QDM.EncounterRecommended" identifier="PositiveEncounterRecommended" label="Encounter, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeEncounterRecommended" retrievable="true" baseType="QDM.EncounterRecommended" identifier="NegativeEncounterRecommended" label="Encounter, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveEncounterPerformed" retrievable="true" baseType="QDM.EncounterPerformed" identifier="PositiveEncounterPerformed" label="Encounter, Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeEncounterPerformed" retrievable="true" baseType="QDM.EncounterPerformed" identifier="NegativeEncounterPerformed" label="Encounter, Not Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveInterventionOrder" retrievable="true" baseType="QDM.InterventionOrder" identifier="PositiveInterventionOrder" label="Intervention, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeInterventionOrder" retrievable="true" baseType="QDM.InterventionOrder" identifier="NegativeInterventionOrder" label="Intervention, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveInterventionRecommended" retrievable="true" baseType="QDM.InterventionRecommended" identifier="PositiveInterventionRecommended" label="Intervention, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeInterventionRecommended" retrievable="true" baseType="QDM.InterventionRecommended" identifier="NegativeInterventionRecommended" label="Intervention, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveInterventionPerformed" retrievable="true" baseType="QDM.InterventionPerformed" identifier="PositiveInterventionPerformed" label="Intervention, Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeInterventionPerformed" retrievable="true" baseType="QDM.InterventionPerformed" identifier="NegativeInterventionPerformed" label="Intervention, Not Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveImmunizationOrder" retrievable="true" baseType="QDM.ImmunizationOrder" identifier="PositiveImmunizationOrder" label="Immunization, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeImmunizationOrder" retrievable="true" baseType="QDM.ImmunizationOrder" identifier="NegativeImmunizationOrder" label="Immunization, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveImmunizationAdministered" retrievable="true" baseType="QDM.ImmunizationAdministered" identifier="PositiveImmunizationAdministered" label="Immunization, Administered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeImmunizationAdministered" retrievable="true" baseType="QDM.ImmunizationAdministered" identifier="NegativeImmunizationAdministered" label="Immunization, Not Administered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveMedicationAdministered" retrievable="true" baseType="QDM.MedicationAdministered" identifier="PositiveMedicationAdministered" label="Medication, Administered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeMedicationAdministered" retrievable="true" baseType="QDM.MedicationAdministered" identifier="NegativeMedicationAdministered" label="Medication, Not Administered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveMedicationDispensed" retrievable="true" baseType="QDM.MedicationDispensed" identifier="PositiveMedicationDispensed" label="Medication, Dispensed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeMedicationDispensed" retrievable="true" baseType="QDM.MedicationDispensed" identifier="NegativeMedicationDispensed" label="Medication, Not Dispensed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveMedicationDischarge" retrievable="true" baseType="QDM.MedicationDischarge" identifier="PositiveMedicationDischarge" label="Medication, Discharge" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeMedicationDischarge" retrievable="true" baseType="QDM.MedicationDischarge" identifier="NegativeMedicationDischarge" label="Medication, Not Discharged" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveMedicationOrder" retrievable="true" baseType="QDM.MedicationOrder" identifier="PositiveMedicationOrder" label="Medication, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeMedicationOrder" retrievable="true" baseType="QDM.MedicationOrder" identifier="NegativeMedicationOrder" label="Medication, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositivePhysicalExamOrder" retrievable="true" baseType="QDM.PhysicalExamOrder" identifier="PositivePhysicalExamOrder" label="Physical Exam, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativePhysicalExamOrder" retrievable="true" baseType="QDM.PhysicalExamOrder" identifier="NegativePhysicalExamOrder" label="Physical Exam, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositivePhysicalExamRecommended" retrievable="true" baseType="QDM.PhysicalExamRecommended" identifier="PositivePhysicalExamRecommended" label="Physical Exam, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativePhysicalExamRecommended" retrievable="true" baseType="QDM.PhysicalExamRecommended" identifier="NegativePhysicalExamRecommended" label="Physical Exam, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositivePhysicalExamPerformed" retrievable="true" baseType="QDM.PhysicalExamPerformed" identifier="PositivePhysicalExamPerformed" label="Physical Exam, Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativePhysicalExamPerformed" retrievable="true" baseType="QDM.PhysicalExamPerformed" identifier="NegativePhysicalExamPerformed" label="Physical Exam, Not Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveProcedureOrder" retrievable="true" baseType="QDM.ProcedureOrder" identifier="PositiveProcedureOrder" label="Procedure, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeProcedureOrder" retrievable="true" baseType="QDM.ProcedureOrder" identifier="NegativeProcedureOrder" label="Procedure, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveProcedureRecommended" retrievable="true" baseType="QDM.ProcedureRecommended" identifier="PositiveProcedureRecommended" label="Procedure, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeProcedureRecommended" retrievable="true" baseType="QDM.ProcedureRecommended" identifier="NegativeProcedureRecommended" label="Procedure, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveProcedurePerformed" retrievable="true" baseType="QDM.ProcedurePerformed" identifier="PositiveProcedurePerformed" label="Procedure, Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeProcedurePerformed" retrievable="true" baseType="QDM.ProcedurePerformed" identifier="NegativeProcedurePerformed" label="Procedure, Not Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveSubstanceOrder" retrievable="true" baseType="QDM.SubstanceOrder" identifier="PositiveSubstanceOrder" label="Substance, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeSubstanceOrder" retrievable="true" baseType="QDM.SubstanceOrder" identifier="NegativeSubstanceOrder" label="Substance, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveSubstanceRecommended" retrievable="true" baseType="QDM.SubstanceRecommended" identifier="PositiveSubstanceRecommended" label="Substance, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeSubstanceRecommended" retrievable="true" baseType="QDM.SubstanceRecommended" identifier="NegativeSubstanceRecommended" label="Substance, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveSubstanceAdministered" retrievable="true" baseType="QDM.SubstanceAdministered" identifier="PositiveSubstanceAdministered" label="Substance, Administered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeSubstanceAdministered" retrievable="true" baseType="QDM.SubstanceAdministered" identifier="NegativeSubstanceAdministered" label="Substance, Not Administered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveLaboratoryTestOrder" retrievable="true" baseType="QDM.LaboratoryTestOrder" identifier="PositiveLaboratoryTestOrder" label="Laboratory Test, Order" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeLaboratoryTestOrder" retrievable="true" baseType="QDM.LaboratoryTestOrder" identifier="NegativeLaboratoryTestOrder" label="Laboratory Test, Not Ordered" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveLaboratoryTestRecommended" retrievable="true" baseType="QDM.LaboratoryTestRecommended" identifier="PositiveLaboratoryTestRecommended" label="Laboratory Test, Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeLaboratoryTestRecommended" retrievable="true" baseType="QDM.LaboratoryTestRecommended" identifier="NegativeLaboratoryTestRecommended" label="Laboratory Test, Not Recommended" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.PositiveLaboratoryTestPerformed" retrievable="true" baseType="QDM.LaboratoryTestPerformed" identifier="PositiveLaboratoryTestPerformed" label="Laboratory Test, Performed" primaryCodePath="code"/>
+    <ns4:typeInfo xsi:type="ns4:ProfileInfo" name="QDM.NegativeLaboratoryTestPerformed" retrievable="true" baseType="QDM.LaboratoryTestPerformed" identifier="NegativeLaboratoryTestPerformed" label="Laboratory Test, Not Performed" primaryCodePath="code"/>
+    <ns4:contextInfo name="Patient" keyElement="id" birthDateElement="birthDatetime">
+        <ns4:contextType modelName="QDM" name="Patient"/>
+    </ns4:contextInfo>
+</ns4:modelInfo>