health-data-standards 3.5.3 → 3.6.1

data/lib/health-data-standards/validate/schematron_validator.rb

@@ -0,0 +1,34 @@
+module HealthDataStandards
+  module Validate
+    module Schematron
+    NAMESPACE = {"svrl" => "http://purl.oclc.org/dsdl/svrl"}
+    DIR = File.expand_path("../../../../", __FILE__)
+    ISO_SCHEMATRON = File.join(DIR, 'resources/schematron/iso-schematron-xslt1/iso_svrl_for_xslt1.xsl')
+
+      class Validator
+        include BaseValidator
+
+        if RUBY_PLATFORM != "java"
+          require_relative "schematron/c_processor"
+          include Schematron::CProcessor
+        else
+          require_relative 'schematron/java_processor'
+          include Schematron::JavaProcessor
+        end
+
+        def initialize(name,schematron_file)
+          @name = name
+          @schematron_file = schematron_file
+        end
+
+        def validate(document,data = {})
+          errors = get_errors(document).root.xpath("//svrl:failed-assert",NAMESPACE).map do |el|
+            build_error(el.xpath('svrl:text',NAMESPACE).text, el['location'], data[:file_name])
+          end
+          errors.uniq{|e| "#{e.location}#{e.message}"}
+        end
+
+      end
+    end
+  end
+end

data/lib/health-data-standards/validate/validation_error.rb

@@ -0,0 +1,10 @@
+class ValidationError
+  attr_accessor :message, :location, :file_name, :validator
+
+  def initialize(params={})
+    @location = params[:location]
+    @message = params[:message]
+    @validator = params[:validator]
+    @file_name = params[:file_name]
+   end
+end

data/lib/health-data-standards/validate/validators.rb

@@ -0,0 +1,80 @@
+require_relative 'validation_error'
+require_relative 'base_validator'
+require_relative 'schema_validator'
+require_relative 'schematron_validator'
+require_relative 'measure_validator'
+require_relative 'data_validator'
+require_relative 'performance_rate_validator'
+
+module HealthDataStandards
+  module Validate
+
+    CDA_SDTC_SCHEMA = 'resources/schema/infrastructure/cda/CDA_SDTC.xsd'
+    QRDA_CAT1_SCHEMATRON = 'resources/schematron/qrda/cat_1_r2/QRDA Category I Release 2.sch'
+    QRDA_CAT1_R3_SCHEMATRON = 'resources/schematron/qrda/cat_1/CDAR2_QRDA_I_R1_D3_2015MAY_Schematron.sch'
+    QRDA_CAT3_SCHEMATRON = 'resources/schematron/qrda/cat_3/QRDA Category III.sch'
+    BASE_DIR = File.expand_path("../../../../", __FILE__)
+
+    class Cat1Measure < MeasureValidator
+      include Singleton
+
+      def initialize()
+        super("2.16.840.1.113883.10.20.24.3.97")
+      end
+
+    end
+
+    class Cat3Measure < MeasureValidator
+      include Singleton
+
+      def initialize()
+        super("2.16.840.1.113883.10.20.27.3.1")
+      end
+
+    end
+
+    class CDA < Schema::Validator
+      include Singleton
+
+      def initialize
+        super("CDA SDTC Validator", File.join(BASE_DIR, CDA_SDTC_SCHEMA))
+      end
+
+    end
+
+    class Cat1 < Schematron::Validator
+      include Singleton
+
+      def initialize
+	super("QRDA Cat 1 R3 Validator", File.join(BASE_DIR, QRDA_CAT1_R3_SCHEMATRON))
+      end
+
+    end
+
+    class Cat1R2 < Schematron::Validator
+      include Singleton
+
+      def initialize
+        super("QRDA Cat 1 Validator", File.join(BASE_DIR, QRDA_CAT1_SCHEMATRON))
+      end
+
+    end
+
+    class Cat3 < Schematron::Validator
+      include Singleton
+
+      def initialize
+        super("QRDA Cat 3 Validator", File.join(BASE_DIR, QRDA_CAT3_SCHEMATRON))
+      end
+    end
+
+    class Cat3PerformanceRate < PerformanceRateValidator
+      include Singleton
+
+      #def initialize
+      #  super("Performance Rate Validator", File.join(BASE_DIR, CDA_SDTC_SCHEMA))
+      #end
+
+    end
+  end
+end

data/lib/hqmf-generator/fulfills.xml.erb

@@ -0,0 +1,7 @@
+   
+  <outboundRelationship typeCode="FLFS">
+   <criteriaReference classCode="<%= value.type %>" moodCode="<%= value.mood %>">
+      <id extension="<%= value.reference %>"
+        root="2.16.840.1.113883.3.100.1"/>
+    </criteriaReference>    
+  </outboundRelationship> 

data/lib/hqmf-generator/hqmf-generator.rb

@@ -66,9 +66,14 @@ module HQMF2
         fields = []
         if criteria.field_values
           criteria.field_values.each_pair do |key, value|
-            details = HQMF::DataCriteria::FIELDS[key]
-            details[:code_system_name] = HealthDataStandards::Util::CodeSystemHelper.code_system_for(details[:code_system])
-            fields << HQMF2::Generator.render_template('field', {'details' => details, 'value' => value})
+            if key == "FLFS"
+              fields << HQMF2::Generator.render_template('fulfills', {'value' => value})
+            else   
+              details = HQMF::DataCriteria::FIELDS[key]
+              details[:code_system_name] = HealthDataStandards::Util::CodeSystemHelper.code_system_for(details[:code_system])
+              details[:id] = "#{criteria.id}_#{key}"
+              fields << HQMF2::Generator.render_template('field', {'details' => details, 'value' => value})
+            end
           end
         end
         if criteria.specific_occurrence

data/lib/hqmf-model/data_criteria.rb

@@ -20,6 +20,7 @@ module HQMF
              'REASON' => {title:'Reason', coded_entry_method: :reason, code: '410666004', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1017.2', field_type: :value},
              'SOURCE' => {title:'Source', coded_entry_method: :source, code: '260753009', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.2001.2', field_type: :value},
              'CUMULATIVE_MEDICATION_DURATION' => {title:'Cumulative Medication Duration', coded_entry_method: :cumulative_medication_duration, code: '363819003', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1001.3', field_type: :value},
+             'FLFS' => {title:'Fulfills', coded_entry_method: :fulfills, code: 'FLFS', field_type: :reference},
              'FACILITY_LOCATION' => {title:'Facility Location', coded_entry_method: :facility, code: 'SDLOC', field_type: :value},
              'FACILITY_LOCATION_ARRIVAL_DATETIME' => {title:'Facility Location Arrival Date/Time', coded_entry_method: :facility_arrival, code: 'SDLOC_ARRIVAL', field_type: :nested_timestamp},
              'FACILITY_LOCATION_DEPARTURE_DATETIME' => {title:'Facility Location Departure Date/Time', coded_entry_method: :facility_departure, code: 'SDLOC_DEPARTURE', field_type: :nested_timestamp},
@@ -356,6 +357,8 @@ module HQMF
           value = HQMF::Coded.from_json(json)
         when 'ANYNonNull'
           value = HQMF::AnyValue.from_json(json)
+        when 'FLFS'
+          value = HQMF::TypedReference.from_json(json)
         else
           raise "Unknown value type [#{type}]"
         end

data/lib/hqmf-model/types.rb

@@ -304,6 +304,35 @@ module HQMF
     
   end
 
+ # Represents a HQMF reference from a precondition to a data criteria
+  class TypedReference
+    include HQMF::Conversion::Utilities
+    attr_accessor :reference, :type, :mood
+    
+    # Create a new HQMF::Reference
+    # @param [String] id
+    def initialize(reference,type,mood=nil)
+      @reference = reference
+      @type = type
+      @mood = mood
+    end
+    
+    def self.from_json(json)
+      type = json["type"] 
+      reference = json["reference"]
+      mood = json["mood"]
+      new(reference,type,mood)
+    end
+
+    def to_json
+      build_hash(self, [:type, :reference,:mood])
+    end
+    
+    def ==(other)
+      check_equality(self,other)
+    end
+    
+  end
   
   # Represents a HQMF reference from a precondition to a data criteria
   class Reference

data/lib/hqmf-parser/2.0/data_criteria.rb

@@ -323,6 +323,13 @@ module HQMF2
         value = Coded.new(field.at_xpath('./*/cda:participation/cda:role/cda:code', HQMF2::Document::NAMESPACES))
         fields[code_id] = value if value && code_id
       end
+
+      # special case for fulfills operator.  assuming there is only a possibility of having one of these
+      fulfils = @entry.at_xpath('./*/cda:outboundRelationship[@typeCode="FLFS"]/cda:criteriaReference', HQMF2::Document::NAMESPACES)
+      if fulfils
+        # grab the child element if we don't have a reference
+        fields["FLFS"] =  TypedReference.new(fulfils)
+      end
       fields
     end
     

data/lib/hqmf-parser/2.0/types.rb

@@ -224,6 +224,30 @@ module HQMF2
     end  
   end
 
+# Represents a HQMF reference to a data criteria that has a given type
+  class TypedReference
+    include HQMF2::Utilities
+    attr_accessor :id, :type, :mood
+
+    # Create a new HQMF::Reference
+    # @param [String] id
+    def initialize(entry)
+      @entry = entry
+      @type = type || attr_val('./@classCode')
+      @mood = attr_val('./@moodCode')
+      @entry = entry.elements.first unless entry.at_xpath('./@extension')
+    end
+
+    def reference
+      attr_val('./@extension')
+    end
+
+    def to_model
+      HQMF::TypedReference.new(reference,@type,@mood)
+    end
+
+  end
+
   # Represents a HQMF reference from a precondition to a data criteria
   class Reference
     include HQMF2::Utilities

data/resources/schema/infrastructure/cda/CDA_SDTC.xsd

@@ -0,0 +1,44 @@
+<?xml version="1.0" encoding="UTF-8" standalone="no"?>
+<xs:schema targetNamespace="urn:hl7-org:v3" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:sdtc="urn:hl7-org:sdtc" xmlns="urn:hl7-org:v3" xmlns:mif="urn:hl7-org:v3/mif"
+  elementFormDefault="qualified">
+  <xs:annotation>
+    <xs:documentation>XML schema for message type POCD_MT000040.</xs:documentation>
+    <xs:documentation>
+      Copyright (c) 2015 Health Level Seven.
+      All rights reserved.
+      
+      Redistribution and use in source and binary forms, with or
+      without modification, are permitted provided that the following
+      conditions are met:
+      1. Redistributions of source code must retain the above
+      copyright notice, this list of conditions and the following
+      disclaimer.
+      2. Redistributions in binary form must reproduce the above
+      copyright notice, this list of conditions and the following
+      disclaimer in the documentation and/or other materials
+      provided with the distribution.
+      3. All advertising materials mentioning features or use of this
+      software must display the following acknowledgement:
+      
+      This product includes software developed by Health Level Seven.
+      
+      THIS SOFTWARE IS PROVIDED BY THE REGENTS AND CONTRIBUTORS
+      ``AS IS'' AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT
+      NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND
+      FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED.  IN NO EVENT
+      SHALL THE REGENTS OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT,
+      INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL
+      DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE
+      GOODS OR SERVICES; LOSS OF USE, DATA, OR PROFITS; OR BUSINESS
+      INTERRUPTION) HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY,
+      WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING
+      NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
+      OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH
+      DAMAGE.
+    </xs:documentation>
+    <xs:documentation>2012-07-06 Created CDA_SDTC.xsd (this file) which is an edited version of CDA.xsd pointing to extension namespace SDTC.</xs:documentation>
+  </xs:annotation>
+  <!-- Edited to point to new file with extensions -->
+  <xs:include schemaLocation="POCD_MT000040_SDTC.xsd"/>
+  <xs:element name="ClinicalDocument" type="POCD_MT000040.ClinicalDocument"/>
+</xs:schema>

data/resources/schema/infrastructure/cda/POCD_MT000040_SDTC.xsd

@@ -0,0 +1,1500 @@
+<?xml version="1.0" encoding="UTF-8" standalone="no"?>
+<xs:schema targetNamespace="urn:hl7-org:v3" xmlns:mif="urn:hl7-org:v3/mif" xmlns="urn:hl7-org:v3"
+    xmlns:xs="http://www.w3.org/2001/XMLSchema" elementFormDefault="qualified" xmlns:sdtc="urn:hl7-org:sdtc">
+    <xs:annotation>
+        <xs:documentation>XML schema for message type POCD_MT000040.</xs:documentation>
+        <xs:documentation>
+      Copyright (c) 2015 Health Level Seven.
+      All rights reserved.
+      
+      Redistribution and use in source and binary forms, with or
+      without modification, are permitted provided that the following
+      conditions are met:
+      1. Redistributions of source code must retain the above
+      copyright notice, this list of conditions and the following
+      disclaimer.
+      2. Redistributions in binary form must reproduce the above
+      copyright notice, this list of conditions and the following
+      disclaimer in the documentation and/or other materials
+      provided with the distribution.
+      3. All advertising materials mentioning features or use of this
+      software must display the following acknowledgement:
+      
+      This product includes software developed by Health Level Seven.
+      
+      THIS SOFTWARE IS PROVIDED BY THE REGENTS AND CONTRIBUTORS
+      ``AS IS'' AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT
+      NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND
+      FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED.  IN NO EVENT
+      SHALL THE REGENTS OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT,
+      INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL
+      DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE
+      GOODS OR SERVICES; LOSS OF USE, DATA, OR PROFITS; OR BUSINESS
+      INTERRUPTION) HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY,
+      WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING
+      NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
+      OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH
+      DAMAGE.
+    </xs:documentation>
+        <xs:documentation>
+      2012-07-06  Created POCD_MT000040_SDTC.xsd (this file) this file is an edited version of POCD_MT000040.xsd that contains the SDTC extensions.
+    </xs:documentation>
+        <xs:documentation>
+      2012-07-06 Added extensions approved by SDWG prior to 2012-07-06: 
+                    RelatedSubject/sdtc:id,
+                    SubjectPerson/sdtc:id,
+                    Patient/sdtc:deceasedInd,
+                    SubjectPerson/sdtc:deceasedInd,
+                    Patient/sdtc:deceasedTime, 
+                    SubjectPerson/sdtc:deceasedTime,
+                    Encounter/sdtc:dischargeDispositionCode,
+                    Patient/sdtc:raceCode,
+                    SubjectPerson/sdtc:raceCode,
+                    PlayingEntity/sdtc:birthTime
+    </xs:documentation>
+        <xs:documentation>
+      2014-07-14 Added extensions approved by SDWG on xxxx date:
+                    Authenticator/sdtc:signatureText,
+                    LegalAuthenticator/sdtc:signatureText
+    </xs:documentation>
+        <xs:documentation>
+      2015-04-01 Added extensions approved by SDWG on 2014-11-xx:
+                    Patient/sdtc:multipleBirthInd,
+                    SubjectPerson/sdtc:multipleBirthInd,
+                    Patient/sdtc:multipleBirthOrderNumber,
+                    SubjectPerson/sdtc:multipleBirthOrderNumber
+                 Added extensions approved by SDWG on 2014-12-18:
+                    Patient/sdtc:ethnicGroupCode,
+                    SubjectPerson/sdtc:ethnicGroupCode         
+    </xs:documentation>
+        <xs:documentation>
+      2015-04-01 Added extension approved by SDWG on 2014-01-xx:
+                    ClinicalDocument/sdtc:statusCode
+    </xs:documentation>
+        <xs:documentation>
+      2015-04-01 Added extension approved by SDWG on 2015-03-05:
+                    Patient/sdtc:desc
+                    SubjectPerson/sdtc:desc
+                    Person/sdtc:desc
+    </xs:documentation>
+        <xs:documentation>
+      2015-04-01 Added extension approved by SDWG on 2015-03-05:
+                    AssignedEntity/sdtc:patient
+    </xs:documentation>
+        <xs:documentation>
+      2015-04-01 Added extension approved by SDWG on 2015-03-19:
+                    Observation/sdtc:inFulfillmentOf1
+                    SubstanceAdministration/sdtc:inFulfillmentOf1
+                    Supply/sdtc:inFulfillmentOf1
+                    Procedure/sdtc:inFulfillmentOf1
+                    Encounter/sdtc:inFulfillmentOf1
+                    Act/sdtc:inFulfillmentOf1
+    </xs:documentation>
+        <xs:documentation>
+      2015-04-01 Added extension approved by SDWG on 2015-03-05:
+                   Person/sdtc:asPatientRelationship
+    </xs:documentation>
+    
+    </xs:annotation>
+    <xs:include schemaLocation="../../processable/coreschemas/datatypes.xsd" />
+    <xs:include schemaLocation="../../processable/coreschemas/voc.xsd" />
+    <xs:include schemaLocation="../../processable/coreschemas/NarrativeBlock.xsd" />
+    <!-- Added SDTC namespace which holds the SDTC extensions -->
+    <xs:import namespace="urn:hl7-org:sdtc" schemaLocation="SDTC.xsd" />
+    <xs:complexType name="POCD_MT000040.InfrastructureRoot.typeId">
+        <xs:complexContent>
+            <xs:restriction base="II">
+                <xs:attribute name="root" type="uid" use="required" fixed="2.16.840.1.113883.1.3" />
+                <xs:attribute name="extension" type="st" use="required" />
+            </xs:restriction>
+        </xs:complexContent>
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Act">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" minOccurs="0" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="priorityCode" type="CE" minOccurs="0" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entryRelationship" type="POCD_MT000040.EntryRelationship" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:inFulfillmentOf1" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="x_ActClassDocumentEntryAct" use="required" />
+        <xs:attribute name="moodCode" type="x_DocumentActMood" use="required" />
+        <xs:attribute name="negationInd" type="bl" use="optional" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.AssignedAuthor">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:choice>
+                <xs:element name="assignedPerson" type="POCD_MT000040.Person" minOccurs="0" />
+                <xs:element name="assignedAuthoringDevice" type="POCD_MT000040.AuthoringDevice" minOccurs="0" />
+            </xs:choice>
+            <xs:element name="representedOrganization" type="POCD_MT000040.Organization" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassAssignedEntity" use="optional" fixed="ASSIGNED" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.AssignedCustodian">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="representedCustodianOrganization" type="POCD_MT000040.CustodianOrganization" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassAssignedEntity" use="optional" fixed="ASSIGNED" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.AssignedEntity">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="assignedPerson" type="POCD_MT000040.Person" minOccurs="0" />
+            <xs:element name="representedOrganization" type="POCD_MT000040.Organization" minOccurs="0" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:patient" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassAssignedEntity" use="optional" fixed="ASSIGNED" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.AssociatedEntity">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="associatedPerson" type="POCD_MT000040.Person" minOccurs="0" />
+            <xs:element name="scopingOrganization" type="POCD_MT000040.Organization" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassAssociative" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Authenticator">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="time" type="TS" />
+            <xs:element name="signatureCode" type="CS" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:signatureText" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="assignedEntity" type="POCD_MT000040.AssignedEntity" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="AUTHEN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Author">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="functionCode" type="CE" minOccurs="0" />
+            <xs:element name="time" type="TS" />
+            <xs:element name="assignedAuthor" type="POCD_MT000040.AssignedAuthor" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="AUT" />
+        <xs:attribute name="contextControlCode" type="ContextControl" use="optional" fixed="OP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.AuthoringDevice">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="manufacturerModelName" type="SC" minOccurs="0" />
+            <xs:element name="softwareName" type="SC" minOccurs="0" />
+            <xs:element name="asMaintainedEntity" type="POCD_MT000040.MaintainedEntity" minOccurs="0"
+                maxOccurs="unbounded" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassDevice" use="optional" fixed="DEV" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Authorization">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="consent" type="POCD_MT000040.Consent" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipType" use="optional" fixed="AUTH" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Birthplace">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="place" type="POCD_MT000040.Place" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClass" use="optional" fixed="BIRTHPL" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ClinicalDocument">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" />
+            <xs:element name="code" type="CE" />
+            <xs:element name="title" type="ST" minOccurs="0" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:statusCode" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="effectiveTime" type="TS" />
+            <xs:element name="confidentialityCode" type="CE" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+            <xs:element name="setId" type="II" minOccurs="0" />
+            <xs:element name="versionNumber" type="INT" minOccurs="0" />
+            <xs:element name="copyTime" type="TS" minOccurs="0" />
+            <xs:element name="recordTarget" type="POCD_MT000040.RecordTarget" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" maxOccurs="unbounded" />
+            <xs:element name="dataEnterer" type="POCD_MT000040.DataEnterer" minOccurs="0" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="custodian" type="POCD_MT000040.Custodian" />
+            <xs:element name="informationRecipient" type="POCD_MT000040.InformationRecipient" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="legalAuthenticator" type="POCD_MT000040.LegalAuthenticator" minOccurs="0" />
+            <xs:element name="authenticator" type="POCD_MT000040.Authenticator" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant1" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="inFulfillmentOf" type="POCD_MT000040.InFulfillmentOf" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="documentationOf" type="POCD_MT000040.DocumentationOf" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="relatedDocument" type="POCD_MT000040.RelatedDocument" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="authorization" type="POCD_MT000040.Authorization" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="componentOf" type="POCD_MT000040.Component1" minOccurs="0" />
+            <xs:element name="component" type="POCD_MT000040.Component2" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClinicalDocument" use="optional" fixed="DOCCLIN" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Component1">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="encompassingEncounter" type="POCD_MT000040.EncompassingEncounter" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipHasComponent" use="optional" fixed="COMP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Component2">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:choice>
+                <xs:element name="nonXMLBody" type="POCD_MT000040.NonXMLBody" />
+                <xs:element name="structuredBody" type="POCD_MT000040.StructuredBody" />
+            </xs:choice>
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipHasComponent" use="optional" fixed="COMP" />
+        <xs:attribute name="contextConductionInd" type="bl" use="optional" fixed="true" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Component3">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="section" type="POCD_MT000040.Section" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipHasComponent" use="optional" fixed="COMP" />
+        <xs:attribute name="contextConductionInd" type="bl" use="optional" fixed="true" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Component4">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="sequenceNumber" type="INT" minOccurs="0" />
+            <xs:element name="seperatableInd" type="BL" minOccurs="0" />
+            <xs:choice>
+                <xs:element name="act" type="POCD_MT000040.Act" />
+                <xs:element name="encounter" type="POCD_MT000040.Encounter" />
+                <xs:element name="observation" type="POCD_MT000040.Observation" />
+                <xs:element name="observationMedia" type="POCD_MT000040.ObservationMedia" />
+                <xs:element name="organizer" type="POCD_MT000040.Organizer" />
+                <xs:element name="procedure" type="POCD_MT000040.Procedure" />
+                <xs:element name="regionOfInterest" type="POCD_MT000040.RegionOfInterest" />
+                <xs:element name="substanceAdministration" type="POCD_MT000040.SubstanceAdministration" />
+                <xs:element name="supply" type="POCD_MT000040.Supply" />
+            </xs:choice>
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipHasComponent" use="optional" fixed="COMP" />
+        <xs:attribute name="contextConductionInd" type="bl" use="optional" fixed="true" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Component5">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="section" type="POCD_MT000040.Section" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipHasComponent" use="optional" fixed="COMP" />
+        <xs:attribute name="contextConductionInd" type="bl" use="optional" fixed="true" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Consent">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="optional" fixed="CONS" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Consumable">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="manufacturedProduct" type="POCD_MT000040.ManufacturedProduct" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="CSM" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Criterion">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="value" type="ANY" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassObservation" use="optional" default="OBS" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN.CRT" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Custodian">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="assignedCustodian" type="POCD_MT000040.AssignedCustodian" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="CST" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.CustodianOrganization">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" maxOccurs="unbounded" />
+            <xs:element name="name" type="ON" minOccurs="0" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassOrganization" use="optional" fixed="ORG" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.DataEnterer">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="time" type="TS" minOccurs="0" />
+            <xs:element name="assignedEntity" type="POCD_MT000040.AssignedEntity" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="ENT" />
+        <xs:attribute name="contextControlCode" type="ContextControl" use="optional" fixed="OP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Device">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="manufacturerModelName" type="SC" minOccurs="0" />
+            <xs:element name="softwareName" type="SC" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassDevice" use="optional" default="DEV" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.DocumentationOf">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="serviceEvent" type="POCD_MT000040.ServiceEvent" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipType" use="optional" fixed="DOC" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.EncompassingEncounter">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="effectiveTime" type="IVL_TS" />
+            <xs:element name="dischargeDispositionCode" type="CE" minOccurs="0" />
+            <xs:element name="responsibleParty" type="POCD_MT000040.ResponsibleParty" minOccurs="0" />
+            <xs:element name="encounterParticipant" type="POCD_MT000040.EncounterParticipant" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="location" type="POCD_MT000040.Location" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="optional" fixed="ENC" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Encounter">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" minOccurs="0" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:dischargeDispositionCode" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="priorityCode" type="CE" minOccurs="0" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entryRelationship" type="POCD_MT000040.EntryRelationship" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:inFulfillmentOf1" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="required" />
+        <xs:attribute name="moodCode" type="x_DocumentEncounterMood" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.EncounterParticipant">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="time" type="IVL_TS" minOccurs="0" />
+            <xs:element name="assignedEntity" type="POCD_MT000040.AssignedEntity" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="x_EncounterParticipant" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Entity">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="desc" type="ED" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassRoot" use="optional" default="ENT" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Entry">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:choice>
+                <xs:element name="act" type="POCD_MT000040.Act" />
+                <xs:element name="encounter" type="POCD_MT000040.Encounter" />
+                <xs:element name="observation" type="POCD_MT000040.Observation" />
+                <xs:element name="observationMedia" type="POCD_MT000040.ObservationMedia" />
+                <xs:element name="organizer" type="POCD_MT000040.Organizer" />
+                <xs:element name="procedure" type="POCD_MT000040.Procedure" />
+                <xs:element name="regionOfInterest" type="POCD_MT000040.RegionOfInterest" />
+                <xs:element name="substanceAdministration" type="POCD_MT000040.SubstanceAdministration" />
+                <xs:element name="supply" type="POCD_MT000040.Supply" />
+            </xs:choice>
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="x_ActRelationshipEntry" use="optional" default="COMP" />
+        <xs:attribute name="contextConductionInd" type="bl" use="optional" fixed="true" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.EntryRelationship">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="sequenceNumber" type="INT" minOccurs="0" />
+            <xs:element name="seperatableInd" type="BL" minOccurs="0" />
+            <xs:choice>
+                <xs:element name="act" type="POCD_MT000040.Act" />
+                <xs:element name="encounter" type="POCD_MT000040.Encounter" />
+                <xs:element name="observation" type="POCD_MT000040.Observation" />
+                <xs:element name="observationMedia" type="POCD_MT000040.ObservationMedia" />
+                <xs:element name="organizer" type="POCD_MT000040.Organizer" />
+                <xs:element name="procedure" type="POCD_MT000040.Procedure" />
+                <xs:element name="regionOfInterest" type="POCD_MT000040.RegionOfInterest" />
+                <xs:element name="substanceAdministration" type="POCD_MT000040.SubstanceAdministration" />
+                <xs:element name="supply" type="POCD_MT000040.Supply" />
+            </xs:choice>
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="x_ActRelationshipEntryRelationship" use="required" />
+        <xs:attribute name="inversionInd" type="bl" use="optional" />
+        <xs:attribute name="contextConductionInd" type="bl" use="optional" default="true" />
+        <xs:attribute name="negationInd" type="bl" use="optional" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ExternalAct">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassRoot" use="optional" default="ACT" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ExternalDocument">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="setId" type="II" minOccurs="0" />
+            <xs:element name="versionNumber" type="INT" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassDocument" use="optional" default="DOC" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ExternalObservation">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassObservation" use="optional" default="OBS" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ExternalProcedure">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="optional" fixed="PROC" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Guardian">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:choice>
+                <xs:element name="guardianPerson" type="POCD_MT000040.Person" />
+                <xs:element name="guardianOrganization" type="POCD_MT000040.Organization" />
+            </xs:choice>
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClass" use="optional" fixed="GUARD" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.HealthCareFacility">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="location" type="POCD_MT000040.Place" minOccurs="0" />
+            <xs:element name="serviceProviderOrganization" type="POCD_MT000040.Organization" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassServiceDeliveryLocation" use="optional" default="SDLOC" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Informant12">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:choice>
+                <xs:element name="assignedEntity" type="POCD_MT000040.AssignedEntity" />
+                <xs:element name="relatedEntity" type="POCD_MT000040.RelatedEntity" />
+            </xs:choice>
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="INF" />
+        <xs:attribute name="contextControlCode" type="ContextControl" use="optional" fixed="OP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.InformationRecipient">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="intendedRecipient" type="POCD_MT000040.IntendedRecipient" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="x_InformationRecipient" use="optional" default="PRCP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.InFulfillmentOf">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="order" type="POCD_MT000040.Order" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipFulfills" use="optional" fixed="FLFS" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.IntendedRecipient">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informationRecipient" type="POCD_MT000040.Person" minOccurs="0" />
+            <xs:element name="receivedOrganization" type="POCD_MT000040.Organization" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="x_InformationRecipientRole" use="optional" default="ASSIGNED" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.LabeledDrug">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="name" type="EN" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassManufacturedMaterial" use="optional" fixed="MMAT" />
+        <xs:attribute name="determinerCode" type="EntityDeterminerDetermined" use="optional" fixed="KIND" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.LanguageCommunication">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+            <xs:element name="modeCode" type="CE" minOccurs="0" />
+            <xs:element name="proficiencyLevelCode" type="CE" minOccurs="0" />
+            <xs:element name="preferenceInd" type="BL" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.LegalAuthenticator">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="time" type="TS" />
+            <xs:element name="signatureCode" type="CS" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:signatureText" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="assignedEntity" type="POCD_MT000040.AssignedEntity" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="LA" />
+        <xs:attribute name="contextControlCode" type="ContextControl" use="optional" fixed="OP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Location">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="healthCareFacility" type="POCD_MT000040.HealthCareFacility" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationTargetLocation" use="optional" fixed="LOC" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.MaintainedEntity">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="maintainingPerson" type="POCD_MT000040.Person" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClass" use="optional" fixed="MNT" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ManufacturedProduct">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:choice>
+                <xs:element name="manufacturedLabeledDrug" type="POCD_MT000040.LabeledDrug" />
+                <xs:element name="manufacturedMaterial" type="POCD_MT000040.Material" />
+            </xs:choice>
+            <xs:element name="manufacturerOrganization" type="POCD_MT000040.Organization" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassManufacturedProduct" use="optional" fixed="MANU" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Material">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="name" type="EN" minOccurs="0" />
+            <xs:element name="lotNumberText" type="ST" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassManufacturedMaterial" use="optional" fixed="MMAT" />
+        <xs:attribute name="determinerCode" type="EntityDeterminerDetermined" use="optional" fixed="KIND" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.NonXMLBody">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="text" type="ED" />
+            <xs:element name="confidentialityCode" type="CE" minOccurs="0" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="optional" fixed="DOCBODY" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Observation">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" />
+            <xs:element name="derivationExpr" type="ST" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" minOccurs="0" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="priorityCode" type="CE" minOccurs="0" />
+            <xs:element name="repeatNumber" type="IVL_INT" minOccurs="0" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+            <xs:element name="value" type="ANY" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="interpretationCode" type="CE" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="methodCode" type="CE" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="targetSiteCode" type="CD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entryRelationship" type="POCD_MT000040.EntryRelationship" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="referenceRange" type="POCD_MT000040.ReferenceRange" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:inFulfillmentOf1" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassObservation" use="required" />
+        <xs:attribute name="moodCode" type="x_ActMoodDocumentObservation" use="required" />
+        <xs:attribute name="negationInd" type="bl" use="optional" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ObservationMedia">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+            <xs:element name="value" type="ED" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entryRelationship" type="POCD_MT000040.EntryRelationship" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+        </xs:sequence>
+        <xs:attribute name="ID" type="xs:ID" />
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassObservation" use="required" />
+        <xs:attribute name="moodCode" type="ActMood" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ObservationRange">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="value" type="ANY" minOccurs="0" />
+            <xs:element name="interpretationCode" type="CE" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassObservation" use="optional" default="OBS" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN.CRT" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Order">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="priorityCode" type="CE" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassRoot" use="optional" default="ACT" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="RQO" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Organization">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="name" type="ON" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="standardIndustryClassCode" type="CE" minOccurs="0" />
+            <xs:element name="asOrganizationPartOf" type="POCD_MT000040.OrganizationPartOf" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassOrganization" use="optional" fixed="ORG" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.OrganizationPartOf">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" minOccurs="0" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="wholeOrganization" type="POCD_MT000040.Organization" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClass" use="optional" fixed="PART" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Organizer">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="component" type="POCD_MT000040.Component4" minOccurs="0" maxOccurs="unbounded" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="x_ActClassDocumentEntryOrganizer" use="required" />
+        <xs:attribute name="moodCode" type="ActMood" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ParentDocument">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="setId" type="II" minOccurs="0" />
+            <xs:element name="versionNumber" type="INT" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClinicalDocument" use="optional" fixed="DOCCLIN" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Participant1">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="functionCode" type="CE" minOccurs="0" />
+            <xs:element name="time" type="IVL_TS" minOccurs="0" />
+            <xs:element name="associatedEntity" type="POCD_MT000040.AssociatedEntity" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="required" />
+        <xs:attribute name="contextControlCode" type="ContextControl" use="optional" fixed="OP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Participant2">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="time" type="IVL_TS" minOccurs="0" />
+            <xs:element name="awarenessCode" type="CE" minOccurs="0" />
+            <xs:element name="participantRole" type="POCD_MT000040.ParticipantRole" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="required" />
+        <xs:attribute name="contextControlCode" type="ContextControl" use="optional" fixed="OP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ParticipantRole">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:choice>
+                <xs:element name="playingDevice" type="POCD_MT000040.Device" minOccurs="0" />
+                <xs:element name="playingEntity" type="POCD_MT000040.PlayingEntity" minOccurs="0" />
+            </xs:choice>
+            <xs:element name="scopingEntity" type="POCD_MT000040.Entity" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassRoot" use="optional" default="ROL" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Patient">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" />
+            <xs:element name="name" type="PN" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:desc" minOccurs="0" maxOccurs="1" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="administrativeGenderCode" type="CE" minOccurs="0" />
+            <xs:element name="birthTime" type="TS" minOccurs="0" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:deceasedInd" minOccurs="0" />
+            <xs:element ref="sdtc:deceasedTime" minOccurs="0" />
+            <xs:element ref="sdtc:multipleBirthInd" minOccurs="0" />
+            <xs:element ref="sdtc:multipleBirthOrderNumber" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="maritalStatusCode" type="CE" minOccurs="0" />
+            <xs:element name="religiousAffiliationCode" type="CE" minOccurs="0" />
+            <xs:element name="raceCode" type="CE" minOccurs="0" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:raceCode" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="ethnicGroupCode" type="CE" minOccurs="0" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:ethnicGroupCode" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="guardian" type="POCD_MT000040.Guardian" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="birthplace" type="POCD_MT000040.Birthplace" minOccurs="0" />
+            <xs:element name="languageCommunication" type="POCD_MT000040.LanguageCommunication" minOccurs="0"
+                maxOccurs="unbounded" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClass" use="optional" fixed="PSN" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.PatientRole">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" maxOccurs="unbounded" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="patient" type="POCD_MT000040.Patient" minOccurs="0" />
+            <xs:element name="providerOrganization" type="POCD_MT000040.Organization" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClass" use="optional" fixed="PAT" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Performer1">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="functionCode" type="CE" minOccurs="0" />
+            <xs:element name="time" type="IVL_TS" minOccurs="0" />
+            <xs:element name="assignedEntity" type="POCD_MT000040.AssignedEntity" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="x_ServiceEventPerformer" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Performer2">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="time" type="IVL_TS" minOccurs="0" />
+            <xs:element name="modeCode" type="CE" minOccurs="0" />
+            <xs:element name="assignedEntity" type="POCD_MT000040.AssignedEntity" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationPhysicalPerformer" use="optional" fixed="PRF" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Person">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="name" type="PN" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:desc" minOccurs="0" />
+            <xs:element ref="sdtc:asPatientRelationship" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClass" use="optional" fixed="PSN" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Place">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="name" type="EN" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassPlace" use="optional" fixed="PLC" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.PlayingEntity">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="quantity" type="PQ" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="name" type="PN" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:birthTime" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="desc" type="ED" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClassRoot" use="optional" default="ENT" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Precondition">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="criterion" type="POCD_MT000040.Criterion" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipType" use="optional" fixed="PRCN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Procedure">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" minOccurs="0" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="priorityCode" type="CE" minOccurs="0" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+            <xs:element name="methodCode" type="CE" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="approachSiteCode" type="CD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="targetSiteCode" type="CD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entryRelationship" type="POCD_MT000040.EntryRelationship" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:inFulfillmentOf1" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="required" />
+        <xs:attribute name="moodCode" type="x_DocumentProcedureMood" use="required" />
+        <xs:attribute name="negationInd" type="bl" use="optional" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Product">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="manufacturedProduct" type="POCD_MT000040.ManufacturedProduct" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="PRD" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.RecordTarget">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="patientRole" type="POCD_MT000040.PatientRole" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="RCT" />
+        <xs:attribute name="contextControlCode" type="ContextControl" use="optional" fixed="OP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Reference">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="seperatableInd" type="BL" minOccurs="0" />
+            <xs:choice>
+                <xs:element name="externalAct" type="POCD_MT000040.ExternalAct" />
+                <xs:element name="externalObservation" type="POCD_MT000040.ExternalObservation" />
+                <xs:element name="externalProcedure" type="POCD_MT000040.ExternalProcedure" />
+                <xs:element name="externalDocument" type="POCD_MT000040.ExternalDocument" />
+            </xs:choice>
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="x_ActRelationshipExternalReference" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ReferenceRange">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="observationRange" type="POCD_MT000040.ObservationRange" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ActRelationshipType" use="optional" fixed="REFV" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.RegionOfInterest.value">
+        <xs:complexContent>
+            <xs:extension base="INT">
+                <xs:attribute name="unsorted" type="xs:boolean" default="false" />
+            </xs:extension>
+        </xs:complexContent>
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.RegionOfInterest">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" maxOccurs="unbounded" />
+            <xs:element name="code" type="CS" />
+            <xs:element name="value" type="POCD_MT000040.RegionOfInterest.value" maxOccurs="unbounded" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entryRelationship" type="POCD_MT000040.EntryRelationship" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+        </xs:sequence>
+        <xs:attribute name="ID" type="xs:ID" />
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="required" fixed="ROIOVL" />
+        <xs:attribute name="moodCode" type="ActMood" use="required" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.RelatedDocument">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="parentDocument" type="POCD_MT000040.ParentDocument" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="x_ActRelationshipDocument" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.RelatedEntity">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="relatedPerson" type="POCD_MT000040.Person" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassMutualRelationship" use="required" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.RelatedSubject">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:id" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="addr" type="AD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="telecom" type="TEL" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="subject" type="POCD_MT000040.SubjectPerson" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="x_DocumentSubject" use="optional" default="PRS" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ResponsibleParty">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="assignedEntity" type="POCD_MT000040.AssignedEntity" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="RESP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Section">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="title" type="ST" minOccurs="0" />
+            <xs:element name="text" type="StrucDoc.Text" minOccurs="0" />
+            <xs:element name="confidentialityCode" type="CE" minOccurs="0" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entry" type="POCD_MT000040.Entry" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="component" type="POCD_MT000040.Component5" minOccurs="0" maxOccurs="unbounded" />
+        </xs:sequence>
+        <xs:attribute name="ID" type="xs:ID" />
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="optional" fixed="DOCSECT" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.ServiceEvent">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CE" minOccurs="0" />
+            <xs:element name="effectiveTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="performer" type="POCD_MT000040.Performer1" minOccurs="0" maxOccurs="unbounded" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassRoot" use="optional" default="ACT" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Specimen">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="specimenRole" type="POCD_MT000040.SpecimenRole" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationType" use="optional" fixed="SPC" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.SpecimenRole">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="specimenPlayingEntity" type="POCD_MT000040.PlayingEntity" minOccurs="0" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="RoleClassSpecimen" use="optional" fixed="SPEC" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.StructuredBody">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="confidentialityCode" type="CE" minOccurs="0" />
+            <xs:element name="languageCode" type="CS" minOccurs="0" />
+            <xs:element name="component" type="POCD_MT000040.Component3" maxOccurs="unbounded" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="optional" fixed="DOCBODY" />
+        <xs:attribute name="moodCode" type="ActMood" use="optional" fixed="EVN" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Subject">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="awarenessCode" type="CE" minOccurs="0" />
+            <xs:element name="relatedSubject" type="POCD_MT000040.RelatedSubject" />
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="typeCode" type="ParticipationTargetSubject" use="optional" fixed="SBJ" />
+        <xs:attribute name="contextControlCode" type="ContextControl" use="optional" fixed="OP" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.SubjectPerson">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:id" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="name" type="PN" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:desc" minOccurs="0" maxOccurs="1" />
+            <!-- End Extension: (SDTC) -->
+            <xs:element name="administrativeGenderCode" type="CE" minOccurs="0" />
+            <xs:element name="birthTime" type="TS" minOccurs="0" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:deceasedInd" minOccurs="0" />
+            <xs:element ref="sdtc:deceasedTime" minOccurs="0" />
+            <xs:element ref="sdtc:multipleBirthInd" minOccurs="0" />
+            <xs:element ref="sdtc:multipleBirthOrderNumber" minOccurs="0" />
+            <!-- End Extension: (SDTC) -->
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:raceCode" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:ethnicGroupCode" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="EntityClass" use="optional" fixed="PSN" />
+        <xs:attribute name="determinerCode" type="EntityDeterminer" use="optional" fixed="INSTANCE" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.SubstanceAdministration">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" minOccurs="0" />
+            <xs:element name="effectiveTime" type="SXCM_TS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="priorityCode" type="CE" minOccurs="0" />
+            <xs:element name="repeatNumber" type="IVL_INT" minOccurs="0" />
+            <xs:element name="routeCode" type="CE" minOccurs="0" />
+            <xs:element name="approachSiteCode" type="CD" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="doseQuantity" type="IVL_PQ" minOccurs="0" />
+            <xs:element name="rateQuantity" type="IVL_PQ" minOccurs="0" />
+            <xs:element name="maxDoseQuantity" type="RTO_PQ_PQ" minOccurs="0" />
+            <xs:element name="administrationUnitCode" type="CE" minOccurs="0" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="consumable" type="POCD_MT000040.Consumable" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entryRelationship" type="POCD_MT000040.EntryRelationship" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:inFulfillmentOf1" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClass" use="required" fixed="SBADM" />
+        <xs:attribute name="moodCode" type="x_DocumentSubstanceMood" use="required" />
+        <xs:attribute name="negationInd" type="bl" use="optional" />
+    </xs:complexType>
+    <xs:complexType name="POCD_MT000040.Supply">
+        <xs:sequence>
+            <xs:element name="realmCode" type="CS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="typeId" type="POCD_MT000040.InfrastructureRoot.typeId" minOccurs="0" />
+            <xs:element name="templateId" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="id" type="II" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="code" type="CD" minOccurs="0" />
+            <xs:element name="text" type="ED" minOccurs="0" />
+            <xs:element name="statusCode" type="CS" minOccurs="0" />
+            <xs:element name="effectiveTime" type="SXCM_TS" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="priorityCode" type="CE" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="repeatNumber" type="IVL_INT" minOccurs="0" />
+            <xs:element name="independentInd" type="BL" minOccurs="0" />
+            <xs:element name="quantity" type="PQ" minOccurs="0" />
+            <xs:element name="expectedUseTime" type="IVL_TS" minOccurs="0" />
+            <xs:element name="subject" type="POCD_MT000040.Subject" minOccurs="0" />
+            <xs:element name="specimen" type="POCD_MT000040.Specimen" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="product" type="POCD_MT000040.Product" minOccurs="0" />
+            <xs:element name="performer" type="POCD_MT000040.Performer2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="author" type="POCD_MT000040.Author" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="informant" type="POCD_MT000040.Informant12" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="participant" type="POCD_MT000040.Participant2" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="entryRelationship" type="POCD_MT000040.EntryRelationship" minOccurs="0"
+                maxOccurs="unbounded" />
+            <xs:element name="reference" type="POCD_MT000040.Reference" minOccurs="0" maxOccurs="unbounded" />
+            <xs:element name="precondition" type="POCD_MT000040.Precondition" minOccurs="0" maxOccurs="unbounded" />
+            <!-- Begin Extension: (SDTC) -->
+            <xs:element ref="sdtc:inFulfillmentOf1" minOccurs="0" maxOccurs="unbounded" />
+            <!-- End Extension: (SDTC) -->
+        </xs:sequence>
+        <xs:attribute name="nullFlavor" type="NullFlavor" use="optional" />
+        <xs:attribute name="classCode" type="ActClassSupply" use="required" fixed="SPLY" />
+        <xs:attribute name="moodCode" type="x_DocumentSubstanceMood" use="required" />
+    </xs:complexType>
+</xs:schema>