diff --git a/Schematrons/HL7 QRDA Category I/STU 5/HL7 QRDA Category I STU 5 Merge Directions.xml b/Schematrons/HL7 QRDA Category I/STU 5/HL7 QRDA Category I STU 5 Merge Directions.xml
index cba7963..15e6d92 100644
--- a/Schematrons/HL7 QRDA Category I/STU 5/HL7 QRDA Category I STU 5 Merge Directions.xml	
+++ b/Schematrons/HL7 QRDA Category I/STU 5/HL7 QRDA Category I STU 5 Merge Directions.xml	
@@ -6,10 +6,10 @@
     <version>1.0</version>
     
     <generatedFilename>
-        /Users/mholck/Development/qrda/Schematrons/HL7 QRDA Category I/STU 5/Published/HL7 QRDA Category I STU 5.sch
+        c:/Development/QRDA-git/qrda/Schematrons/HL7 QRDA Category I/STU 5/Published/HL7 QRDA Category I STU 5 Dec2017.sch
     </generatedFilename>
     <finalTestFilename>
-        /Users/mholck/Development/qrda/Schematrons/HL7 QRDA Category I/STU 5/TestFiles/GOOD_CDAR2_QRDA_I_STU5.xml 
+        c:/Development/QRDA-git/qrda/Schematrons/HL7 QRDA Category I/STU 5/TestFiles/CDAR2_IG_QRDA_I_R1_STU5_2017DEC_Sample.xml 
     </finalTestFilename>
     
     <fileHeader>
@@ -25,11 +25,11 @@
     <errorsHeader>ERROR Patterns and Assertions</errorsHeader>
     <warningsHeader>WARNING Patterns and Assertions</warningsHeader>
     
-    <mergeReportFilename>/Users/mholck/Development/qrda/Schematrons/HL7 QRDA Category I/STU 5/mergeReport.txt</mergeReportFilename>
+    <mergeReportFilename>c:/Development/QRDA-git/qrda/Schematrons/HL7 QRDA Category I/STU 5/mergeReport.txt</mergeReportFilename>
     
     <!-- All schematrons expected to be under a single main directory -->
     <sourceMainDirectory>
-        /Users/mholck/Development/qrda/Schematrons/
+        c:/Development/QRDA-git/qrda/Schematrons/
     </sourceMainDirectory>
     
     <!-- Specify the schematrons to use in the merge below, separated by the templates found in each fo the source directories listed. -->
@@ -169,7 +169,7 @@
         <include>Target Outcome V2</include>
         <!-- Subentry templates -->
         <include>Facility Location V2</include>
-        <include>Fulfills V2</include>
+        <!-- <include>Fulfills V2</include>  Fulfills is no longer an attribute. Remove -->
         <!-- Other templates -->
         <include>Author Participation</include>
         <include>US Realm Address</include>
diff --git a/Schematrons/HL7 QRDA Category I/STU 5/Published/HL7 QRDA Category I STU 5 Dec2017.sch b/Schematrons/HL7 QRDA Category I/STU 5/Published/HL7 QRDA Category I STU 5 Dec2017.sch
new file mode 100644
index 0000000..b7954e0
--- /dev/null
+++ b/Schematrons/HL7 QRDA Category I/STU 5/Published/HL7 QRDA Category I STU 5 Dec2017.sch	
@@ -0,0 +1,3058 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<!--
+HL7 QRDA 1 STU 5 schematron
+Version 1.0 
+
+    THIS SOFTWARE IS PROVIDED "AS IS" AND ANY EXPRESSED 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 ESAC INC., OR ANY OF THEIR 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. 
+
+Wed Jan 10 12:51:22 MST 2018
+-->
+<sch:schema xmlns:sch="http://purl.oclc.org/dsdl/schematron" xmlns="urn:hl7-org:v3" xmlns:cda="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:svs="urn:ihe:iti:svs:2008" xmlns:voc="http://www.lantanagroup.com/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
+  <sch:ns prefix="svs" uri="urn:ihe:iti:svs:2008" />
+  <sch:ns prefix="voc" uri="http://www.lantanagroup.com/voc" />
+  <sch:ns prefix="cda" uri="urn:hl7-org:v3" />
+  <sch:ns prefix="sdtc" uri="urn:hl7-org:sdtc" />
+  <sch:ns prefix="xsi" uri="http://www.w3.org/2001/XMLSchema-instance" />
+  <sch:phase id="errors">
+    <sch:active pattern="Admission_Source-pattern-errors" />
+    <sch:active pattern="Adverse_Event-pattern-errors" />
+    <sch:active pattern="Adverse-Event-Cause-Observation-Assertion-pattern-errors" />
+    <sch:active pattern="Age-observation-pattern-errors" />
+    <sch:active pattern="Allergy-Intolerance-pattern-errors" />
+    <sch:active pattern="Allergy_status_observation-pattern-errors" />
+    <sch:active pattern="Assessment_performed-pattern-errors" />
+    <sch:active pattern="Assessment_recommended-pattern-errors" />
+    <sch:active pattern="Author-Participation-pattern-errors" />
+    <sch:active pattern="Care-Goal-pattern-errors" />
+    <sch:active pattern="Communication-From-Patient-To-Provider-pattern-errors" />
+    <sch:active pattern="Communication-From-Provider-To-Patient-pattern-errors" />
+    <sch:active pattern="Communication-From-Provider-To-Provider-pattern-errors" />
+    <sch:active pattern="Component-pattern-errors" />
+    <sch:active pattern="Deceased-Observation-pattern-errors" />
+    <sch:active pattern="Device-Applied-pattern-errors" />
+    <sch:active pattern="Device-Order-Act-pattern-errors" />
+    <sch:active pattern="Device-Order-pattern-errors" />
+    <sch:active pattern="Device-Recommended-Act-pattern-errors" />
+    <sch:active pattern="Device-Recommended-pattern-errors" />
+    <sch:active pattern="Diagnosis_concern_act-pattern-errors" />
+    <sch:active pattern="Diagnosis-pattern-errors" />
+    <sch:active pattern="Diagnostic-Study-Order-pattern-errors" />
+    <sch:active pattern="Diagnostic-Study-Performed-pattern-errors" />
+    <sch:active pattern="Diagnostic-Study-Recommended-pattern-errors" />
+    <sch:active pattern="Discharge-Medication-pattern-errors" />
+    <sch:active pattern="Drug-Monitoring-Act-pattern-errors" />
+    <sch:active pattern="Drug-Vehicle-pattern-errors" />
+    <sch:active pattern="eMeasure-Reference-QDM-pattern-errors" />
+    <sch:active pattern="Encounter-Activity-pattern-errors" />
+    <sch:active pattern="Encounter-Diagnosis-pattern-errors" />
+    <sch:active pattern="Encounter-Order-Act-pattern-errors" />
+    <sch:active pattern="Encounter-Order-pattern-errors" />
+    <sch:active pattern="Encounter-Performed-Act-pattern-errors" />
+    <sch:active pattern="Encounter-Performed-pattern-errors" />
+    <sch:active pattern="Encounter-Recommended-Act-pattern-errors" />
+    <sch:active pattern="Encounter-Recommended-pattern-errors" />
+    <sch:active pattern="Entry-Reference-pattern-errors" />
+    <sch:active pattern="External-Document-Reference-pattern-errors" />
+    <sch:active pattern="Facility-Location-pattern-errors" />
+    <sch:active pattern="Family_History_Death_Observation-pattern-errors" />
+    <sch:active pattern="Family_History_Observation_QDM-pattern-errors" />
+    <sch:active pattern="Family_History_Observation_V3-pattern-errors" />
+    <sch:active pattern="Family_History_Organizer_QDM-pattern-errors" />
+    <sch:active pattern="Family_History_Organizer_V3-pattern-errors" />
+    <sch:active pattern="Goal_Observation-pattern-errors" />
+    <sch:active pattern="Immunization_activity-pattern-errors" />
+    <sch:active pattern="Immunization_administered-pattern-errors" />
+    <sch:active pattern="Immunization_medication_information-pattern-errors" />
+    <sch:active pattern="Immunization_order-pattern-errors" />
+    <sch:active pattern="Immunization_refusal_reason-pattern-errors" />
+    <sch:active pattern="Incision_datetime-pattern-errors" />
+    <sch:active pattern="Indication-pattern-errors" />
+    <sch:active pattern="Instruction-pattern-errors" />
+    <sch:active pattern="Intervention_Order-pattern-errors" />
+    <sch:active pattern="Intervention_Performed-pattern-errors" />
+    <sch:active pattern="Intervention_Recommended-pattern-errors" />
+    <sch:active pattern="Laboratory_Test_Order-pattern-errors" />
+    <sch:active pattern="Laboratory_Test_Performed-pattern-errors" />
+    <sch:active pattern="Laboratory_Test_Recommended-pattern-errors" />
+    <sch:active pattern="Measure_Reference-pattern-errors" />
+    <sch:active pattern="Measure-section-pattern-errors" />
+    <sch:active pattern="Measure-section-qdm-pattern-errors" />
+    <sch:active pattern="Medication_Active-pattern-errors" />
+    <sch:active pattern="Medication_Activity-pattern-errors" />
+    <sch:active pattern="Medication_Administered-pattern-errors" />
+    <sch:active pattern="Medication_Dispense_V2-pattern-errors" />
+    <sch:active pattern="Medication_Dispensed_Act-pattern-errors" />
+    <sch:active pattern="Medication_Dispensed-pattern-errors" />
+    <sch:active pattern="Medication_Free_Text_Sig-pattern-errors" />
+    <sch:active pattern="Medication_Information-pattern-errors" />
+    <sch:active pattern="Medication_Order-pattern-errors" />
+    <sch:active pattern="Medication_Supply_Order-pattern-errors" />
+    <sch:active pattern="Medication_Supply_Request-pattern-errors" />
+    <sch:active pattern="Patient_care_experience-pattern-errors" />
+    <sch:active pattern="Patient_Characteristic_Clinical_Trial_Participant-pattern-errors" />
+    <sch:active pattern="Patient_Characteristic_Expired-pattern-errors" />
+    <sch:active pattern="Patient_Characteristic_Observation_Assertion-pattern-errors" />
+    <sch:active pattern="Patient_Characteristic_Payer-pattern-errors" />
+    <sch:active pattern="Patient-data-section-pattern-errors" />
+    <sch:active pattern="Patient_data_section_QDM-pattern-errors" />
+    <sch:active pattern="Physical_Exam_Order-pattern-errors" />
+    <sch:active pattern="Physical_Exam_Performed-pattern-errors" />
+    <sch:active pattern="Physical_Exam_Recommended-pattern-errors" />
+    <sch:active pattern="Planned_Act-pattern-errors" />
+    <sch:active pattern="Planned_Coverage-pattern-errors" />
+    <sch:active pattern="Planned_Encounter-pattern-errors" />
+    <sch:active pattern="Planned_Immunization_Activity-pattern-errors" />
+    <sch:active pattern="Planned-Medication-Activity-pattern-errors" />
+    <sch:active pattern="Planned-Observation-pattern-errors" />
+    <sch:active pattern="Planned-Procedure-pattern-errors" />
+    <sch:active pattern="Planned-Supply-pattern-errors" />
+    <sch:active pattern="Precondition-For-Substance-Administration-pattern-errors" />
+    <sch:active pattern="Principal-Diagnosis-pattern-errors" />
+    <sch:active pattern="Priority-Preference-pattern-errors" />
+    <sch:active pattern="Problem-Concern-Act-pattern-errors" />
+    <sch:active pattern="Problem-Observation-pattern-errors" />
+    <sch:active pattern="Problem-Status-pattern-errors" />
+    <sch:active pattern="Procedure-Activity-Act-pattern-errors" />
+    <sch:active pattern="Procedure-Activity-Observation-pattern-errors" />
+    <sch:active pattern="Procedure-Activity-Procedure-pattern-errors" />
+    <sch:active pattern="Procedure-Order-pattern-errors" />
+    <sch:active pattern="Procedure-Performed-pattern-errors" />
+    <sch:active pattern="Procedure-Recommended-pattern-errors" />
+    <sch:active pattern="Product-Instance-pattern-errors" />
+    <sch:active pattern="Prognosis-Observation-pattern-errors" />
+    <sch:active pattern="Program_Participation-pattern-errors" />
+    <sch:active pattern="Provider-Care-Experience-pattern-errors" />
+    <sch:active pattern="Provider-Characteristic-Observation-Assertion-pattern-errors" />
+    <sch:active pattern="QDM_based_QRDA_V5-pattern-errors" />
+    <sch:active pattern="QRDA_Category_I-pattern-errors" />
+    <sch:active pattern="Reaction-Observation-pattern-errors" />
+    <sch:active pattern="Reason-pattern-errors" />
+    <sch:active pattern="Related-To-pattern-errors" />
+    <sch:active pattern="Reporting-Parameters-Act-pattern-errors" />
+    <sch:active pattern="Reporting-parameters-section-pattern-errors" />
+    <sch:active pattern="Result-Observation-pattern-errors" />
+    <sch:active pattern="Service-Delivery-Location-pattern-errors" />
+    <sch:active pattern="Severity-Observation-pattern-errors" />
+    <sch:active pattern="Status-pattern-errors" />
+    <sch:active pattern="Substance-Administered-Act-pattern-errors" />
+    <sch:active pattern="Substance-Device-Allergy-Intolerance-Observation-pattern-errors" />
+    <sch:active pattern="Substance-Recommended-pattern-errors" />
+    <sch:active pattern="Symptom-Concern-Act-pattern-errors" />
+    <sch:active pattern="Symptom-pattern-errors" />
+    <sch:active pattern="Target-Outcome-pattern-errors" />
+    <sch:active pattern="US-Realm-Address-pattern-errors" />
+    <sch:active pattern="US-Realm-Date-and-Time-pattern-errors" />
+    <sch:active pattern="US_Realm-pattern-errors" />
+    <sch:active pattern="US-Realm-Patient-Name-pattern-errors" />
+    <sch:active pattern="US-Realm-Person-Name-pattern-errors" />
+  </sch:phase>
+  <sch:phase id="warnings">
+    <sch:active pattern="Admission_Source-pattern-warnings" />
+    <sch:active pattern="Adverse_Event-pattern-warnings" />
+    <sch:active pattern="Author-Participation-pattern-warnings" />
+    <sch:active pattern="Deceased-Observation-pattern-warnings" />
+    <sch:active pattern="Device-Applied-pattern-warnings" />
+    <sch:active pattern="eMeasure-Reference-QDM-pattern-warnings" />
+    <sch:active pattern="Encounter-Activity-pattern-warnings" />
+    <sch:active pattern="External-Document-Reference-pattern-warnings" />
+    <sch:active pattern="Facility-Location-pattern-warnings" />
+    <sch:active pattern="Family_History_Observation_V3-pattern-warnings" />
+    <sch:active pattern="Family_History_Organizer_V3-pattern-warnings" />
+    <sch:active pattern="Goal_Observation-pattern-warnings" />
+    <sch:active pattern="Immunization_activity-pattern-warnings" />
+    <sch:active pattern="Immunization_medication_information-pattern-warnings" />
+    <sch:active pattern="Indication-pattern-warnings" />
+    <sch:active pattern="Measure_Reference-pattern-warnings" />
+    <sch:active pattern="Medication_Activity-pattern-warnings" />
+    <sch:active pattern="Medication_Dispense_V2-pattern-warnings" />
+    <sch:active pattern="Medication_Free_Text_Sig-pattern-warnings" />
+    <sch:active pattern="Medication_Supply_Order-pattern-warnings" />
+    <sch:active pattern="Patient_Characteristic_Payer-pattern-warnings" />
+    <sch:active pattern="Planned_Act-pattern-warnings" />
+    <sch:active pattern="Planned_Encounter-pattern-warnings" />
+    <sch:active pattern="Planned_Immunization_Activity-pattern-warnings" />
+    <sch:active pattern="Planned-Medication-Activity-pattern-warnings" />
+    <sch:active pattern="Planned-Observation-pattern-warnings" />
+    <sch:active pattern="Planned-Procedure-pattern-warnings" />
+    <sch:active pattern="Planned-Supply-pattern-warnings" />
+    <sch:active pattern="Priority-Preference-pattern-warnings" />
+    <sch:active pattern="Problem-Concern-Act-pattern-warnings" />
+    <sch:active pattern="Problem-Observation-pattern-warnings" />
+    <sch:active pattern="Procedure-Activity-Act-pattern-warnings" />
+    <sch:active pattern="Procedure-Activity-Observation-pattern-warnings" />
+    <sch:active pattern="Procedure-Activity-Procedure-pattern-warnings" />
+    <sch:active pattern="Procedure-Performed-pattern-warnings" />
+    <sch:active pattern="Product-Instance-pattern-warnings" />
+    <sch:active pattern="Provider-Characteristic-Observation-Assertion-pattern-warnings" />
+    <sch:active pattern="QDM_based_QRDA_V5-pattern-warnings" />
+    <sch:active pattern="Reaction-Observation-pattern-warnings" />
+    <sch:active pattern="Result-Observation-pattern-warnings" />
+    <sch:active pattern="Service-Delivery-Location-pattern-warnings" />
+    <sch:active pattern="Substance-Device-Allergy-Intolerance-Observation-pattern-warnings" />
+    <sch:active pattern="US-Realm-Address-pattern-warnings" />
+    <sch:active pattern="US-Realm-Date-and-Time-pattern-warnings" />
+    <sch:active pattern="US_Realm-pattern-warnings" />
+  </sch:phase>
+  <!--
+      ERROR Patterns and Assertions
+  -->
+  <sch:pattern id="Substance-Recommended-pattern-errors">
+    <sch:rule id="Substance-Recommended-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.75'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27495-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27495).</sch:assert>
+      <sch:assert id="a-3343-13784-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-13784).</sch:assert>
+      <sch:assert id="a-3343-13785-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.75'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-13785) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.75" (CONF:3343-13786).  SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27152).</sch:assert>
+      <sch:assert id="a-3343-27988-error" test="count(cda:consumable)=1">SHALL contain exactly one [1..1] consumable (CONF:3343-27988).</sch:assert>
+      <sch:assert id="a-3343-27720-error" test="count(cda:author)=1">SHALL contain exactly one [1..1] author (CONF:3343-27720).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Recommended-consumable-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.75'][@extension='2017-08-01']]/cda:consumable">
+      <sch:assert id="a-3343-27989-error" test="count(cda:manufacturedProduct)=1">This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:3343-27989).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Recommended-consumable-manufacturedProduct-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.75'][@extension='2017-08-01']]/cda:consumable/cda:manufacturedProduct">
+      <sch:assert id="a-3343-27990-error" test="count(cda:manufacturedMaterial)=1">This manufacturedProduct SHALL contain exactly one [1..1] manufacturedMaterial (CONF:3343-27990).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Recommended-consumable-manufacturedProduct-manufacturedMaterial-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.75'][@extension='2017-08-01']]/cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial">
+      <sch:assert id="a-3343-27991-error" test="count(cda:code)=1">This manufacturedMaterial SHALL contain exactly one [1..1] code (CONF:3343-27991).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Recommended-author-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.75'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29034-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29034).</sch:assert>
+      <sch:assert id="a-3343-29035-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29035).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Recommended-author-assignedAuthor-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.75'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29036-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29036).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Author-Participation-pattern-errors">
+    <sch:rule id="Author-Participation-errors" context="cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]">
+      <sch:assert id="a-1098-32017-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-32017) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.119" (CONF:1098-32018).</sch:assert>
+      <sch:assert id="a-1098-31471-error" test="count(cda:time)=1">SHALL contain exactly one [1..1] time (CONF:1098-31471).</sch:assert>
+      <sch:assert id="a-1098-31472-error" test="count(cda:assignedAuthor)=1">SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Author-Participation-assignedAuthor-errors" context="cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]/cda:assignedAuthor">
+      <sch:assert id="a-1098-31473-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:1098-31473).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Reporting-Parameters-Act-pattern-errors">
+    <sch:rule id="Reporting-Parameters-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.17.3.8']]">
+      <sch:assert id="a-23-3269-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:23-3269).</sch:assert>
+      <sch:assert id="a-23-3270-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:23-3270).</sch:assert>
+      <sch:assert id="a-23-18098-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.17.3.8'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:23-18098) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.17.3.8" (CONF:23-18099).</sch:assert>
+      <sch:assert id="a-23-26549-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:23-26549).</sch:assert>
+      <sch:assert id="a-23-3272-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:23-3272).</sch:assert>
+      <sch:assert id="a-23-3273-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:23-3273).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Reporting-Parameters-Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.17.3.8']]/cda:code">
+      <sch:assert id="a-23-26550-error" test="@code='252116004'">This code SHALL contain exactly one [1..1] @code="252116004" Observation Parameters (CONF:23-26550).</sch:assert>
+      <sch:assert id="a-23-26551-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:23-26551).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Reporting-Parameters-Act-effectiveTime-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.17.3.8']]/cda:effectiveTime">
+      <sch:assert id="a-23-3274-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:23-3274).</sch:assert>
+      <sch:assert id="a-23-3275-error" test="count(cda:high)=1">This effectiveTime SHALL contain exactly one [1..1] high (CONF:23-3275).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned-Procedure-pattern-errors">
+    <sch:rule id="Planned-Procedure-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.41'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8568-error" test="@classCode='PROC'">SHALL contain exactly one [1..1] @classCode="PROC" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8568).</sch:assert>
+      <sch:assert id="a-1098-8569-error" test="@moodCode and @moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.23']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC 2011-09-30 (CONF:1098-8569).</sch:assert>
+      <sch:assert id="a-1098-30444-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.41'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-30444) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.41" (CONF:1098-30445). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32554).</sch:assert>
+      <sch:assert id="a-1098-8571-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-8571).</sch:assert>
+      <sch:assert id="a-1098-30446-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-30446).</sch:assert>
+      <sch:assert id="a-1098-31976-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-31976).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Procedure-statusCode-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.41'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-31978-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31978).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Order-pattern-errors">
+    <sch:rule id="Procedure-Order-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.63'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27323-error" test="@classCode='PROC'">SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27323).</sch:assert>
+      <sch:assert id="a-3343-11097-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11097).</sch:assert>
+      <sch:assert id="a-3343-11098-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.63'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11098) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.63" (CONF:3343-11099). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27083).</sch:assert>
+      <sch:assert id="a-3343-27324-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-27324).</sch:assert>
+      <sch:assert id="a-3343-27346-error" test="count(cda:author)=1">SHALL contain exactly one [1..1] author (CONF:3343-27346).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Order-author-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.63'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29056-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29056).</sch:assert>
+      <sch:assert id="a-3343-29055-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29055)</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Order-author-assignedAuthor-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.63'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29057-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29057).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Diagnosis-pattern-errors">
+    <sch:rule id="Diagnosis-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.135'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28510-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28510).</sch:assert>
+      <sch:assert id="a-3343-28511-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28511).</sch:assert>
+      <sch:assert id="a-3343-28512-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28512).</sch:assert>
+      <sch:assert id="a-3343-28498-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.135'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28498) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.135" (CONF:3343-28503). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28887).</sch:assert>
+      <sch:assert id="a-3343-28499-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28499).</sch:assert>
+      <sch:assert id="a-3343-28885-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.137'][@extension='2017-08-01'])=1">This template SHALL be contained by a Diagnosis Concern Act (V3) (CONF:3343-28885).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Diagnosis-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.135'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28505-error" test="@code='29308-4'">This code SHALL contain exactly one [1..1] @code="29308-4" diagnosis (CONF:3343-28505).</sch:assert>
+      <sch:assert id="a-3343-28506-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3343-28506).</sch:assert>
+      <sch:assert id="a-3343-28886-error" test="count(cda:translation)=1">This code SHALL contain exactly one [1..1] translation (CONF:3343-28886).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Diagnosis-code-translation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.135'][@extension='2017-08-01']]/cda:code/cda:translation">
+      <sch:assert id="a-3343-28888-error" test="@code='282291009'">This translation SHALL contain exactly one [1..1] @code="282291009" 2.16.840.1.113883.6.96 (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:3343-28888).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Physical_Exam_Order-pattern-errors">
+    <sch:rule id="Physical_Exam_Order-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.58'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27550-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27550).</sch:assert>
+      <sch:assert id="a-3343-12685-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12685).</sch:assert>
+      <sch:assert id="a-3343-12686-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.58'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-12686) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.58" (CONF:3343-12687). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27078).</sch:assert>
+      <sch:assert id="a-3343-12689-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-12689).</sch:assert>
+      <sch:assert id="a-3343-13254-error" test="count(cda:value[@xsi:type='CD']) = 1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-13254).</sch:assert>
+      <sch:assert id="a-3343-27345-error" test="count(cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1]) = 1">SHALL contain exactly one [1..1] author (CONF:3343-27345) such that it SHALL contain exactly one [1..1] time (CONF:3343-29050). SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29049).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Physical_Exam_Order-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.58'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-13242-error" test="@code='29545-1'">This code SHALL contain exactly one [1..1] @code="29545-1" physical examination (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3343-13242).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Physical_Exam_Order-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.58'][@extension='2017-08-01']]/cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1]/cda:assignedAuthor">
+      <sch:assert id="a-3343-29051-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29051).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Device-Recommended-Act-pattern-errors">
+    <sch:rule id="Device-Recommended-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.131'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28454-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28454).</sch:assert>
+      <sch:assert id="a-3343-28455-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28455).</sch:assert>
+      <sch:assert id="a-3343-28452-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.131'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28452) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.131" (CONF:3343-28456). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28922).</sch:assert>
+      <sch:assert id="a-3343-28453-error" test="count(cda:entryRelationship[@typeCode='SUBJ'] [count(cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.10'][@extension = '2017-08-01']])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28453) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28458). SHALL contain exactly one [1..1] Device Recommended (V4) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.10:2017-08-01) (CONF:3343-28459).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Immunization_medication_information-pattern-errors">
+    <sch:rule id="Immunization_medication_information-errors" context="cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.54'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-9002-error" test="@classCode='MANU'">SHALL contain exactly one [1..1] @classCode="MANU" (CodeSystem: RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1098-9002).</sch:assert>
+      <sch:assert id="a-1098-9004-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.54'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-9004) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.54" (CONF:1098-10499). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32602).</sch:assert>
+      <sch:assert id="a-1098-9006-error" test="count(cda:manufacturedMaterial)=1">SHALL contain exactly one [1..1] manufacturedMaterial (CONF:1098-9006).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_medication_information-manufacturedMaterial-errors" context="cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.54'][@extension='2014-06-09']]/cda:manufacturedMaterial">
+      <sch:assert id="a-1098-9007-error" test="count(cda:code)=1">This manufacturedMaterial SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet CVX Vaccines Administered - Vaccine Set urn:oid:2.16.840.1.113762.1.4.1010.6 DYNAMIC (CONF:1098-9007).</sch:assert>
+      <sch:assert id="a-1098-9014-error" test="count(cda:lotNumberText)=1">This manufacturedMaterial SHALL contain exactly one [1..1] lotNumberText (CONF:1098-9014).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Patient-data-section-pattern-errors">
+    <sch:rule id="Patient-data-section-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.17.2.4']]">
+      <sch:assert id="a-67-12794-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.17.2.4'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:67-12794) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.17.2.4" (CONF:67-12795).</sch:assert>
+      <sch:assert id="a-67-3865-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:67-3865).</sch:assert>
+      <sch:assert id="a-67-3866-error" test="count(cda:title[translate(text(), 'ABCDEFGHIJKLMNOPQRSTUVWXYZ', 'abcdefghijklmnopqrstuvwxyz')='patient data'])=1">SHALL contain exactly one [1..1] title="Patient Data" (CONF:67-3866).</sch:assert>
+      <sch:assert id="a-67-3867-error" test="count(cda:text)=1">SHALL contain exactly one [1..1] text (CONF:67-3867).</sch:assert>
+      <sch:assert id="a-67-14567-error" test="count(cda:entry) &gt; 0">SHALL contain at least one [1..*] entry (CONF:67-14567).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient-data-section-code-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.17.2.4']]/cda:code">
+      <sch:assert id="a-67-26548-error" test="@code='55188-7'">This code SHALL contain exactly one [1..1] @code="55188-7" (CONF:67-26548).</sch:assert>
+      <sch:assert id="a-67-27013-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:67-27013).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Administered-pattern-errors">
+    <sch:rule id="Medication_Administered-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.42'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-12444-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" Substance Administration (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-12444).</sch:assert>
+      <sch:assert id="a-3343-12445-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12445).</sch:assert>
+      <sch:assert id="a-3343-12446-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.42'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-12446) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.42" (CONF:3343-12447). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27023).</sch:assert>
+      <sch:assert id="a-3343-12452-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:3343-12452).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Administered-statuscode-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.42'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-13241-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-13241).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Communication-From-Provider-To-Provider-pattern-errors">
+    <sch:rule id="Communication-From-Provider-To-Provider-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.4'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-11816-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-11816).</sch:assert>
+      <sch:assert id="a-3343-11817-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11817).</sch:assert>
+      <sch:assert id="a-3343-11818-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.4'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11818) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.4" (CONF:3343-11819). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27285).</sch:assert>
+      <sch:assert id="a-3343-11821-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:3343-11821).</sch:assert>
+      <sch:assert id="a-3343-26950-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-26950).</sch:assert>
+      <sch:assert id="a-3343-11822-error" test="count(cda:statusCode[@code='completed'])=1">SHALL contain exactly one [1..1] statusCode="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-11822).</sch:assert>
+      <sch:assert id="a-3343-28921-error" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.155'][@extension='2017-08-01']]) = 1">SHALL contain exactly one [1..1] Author (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.155:2017-08-01) (CONF:3343-28921).</sch:assert>
+      <sch:assert id="a-3343-11827-error" test="count(cda:participant[@typeCode='IRCP'][count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-11827) such that it SHALL contain exactly one [1..1] @typeCode="IRCP" information recipient (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:3343-11828) SHALL contain exactly one [1..1] participantRole (CONF:3343-11829).</sch:assert>
+      <sch:assert id="a-3343-11837-error" test="count(cda:participant[@typeCode='AUT'] [count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-11837) such that it SHALL contain exactly one [1..1] @typeCode="AUT" information recipient (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:3343-11838) SHALL contain exactly one [1..1] participantRole (CONF:3343-11839).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Provider-To-Provider-participant-participantRole-recipient-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.4'][@extension='2017-08-01']]/cda:participant[@typeCode='IRCP']/cda:participantRole">
+      <sch:assert id="a-3343-12096-error" test="@classCode='ASSIGNED'">This participantRole SHALL contain exactly one [1..1] @classCode="ASSIGNED" assigned entity (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:3343-12096).</sch:assert>
+      <sch:assert id="a-3343-11830-error" test="count(cda:code)=1">This participantRole SHALL contain exactly one [1..1] code (CONF:3343-11830).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Provider-To-Provider-participant-participantRole-recipient-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.4'][@extension='2017-08-01']]/cda:participant[@typeCode='IRCP']/cda:participantRole/cda:code">
+      <sch:assert id="a-3343-26951-error" test="@code='158965000'">This code SHALL contain exactly one [1..1] @code="158965000" Medical practitioner (CONF:3343-26951).</sch:assert>
+      <sch:assert id="a-3343-26952-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:3343-26952).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Provider-To-Provider-participant-participantRole-author-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.4'][@extension='2017-08-01']]/cda:participant[@typeCode='AUT']/cda:participantRole">
+      <sch:assert id="a-3343-12097-error" test="@classCode='ASSIGNED'">This participantRole SHALL contain exactly one [1..1] @classCode="ASSIGNED" assigned entity (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:3343-12097).</sch:assert>
+      <sch:assert id="a-3343-12103-error" test="count(cda:code)=1">This participantRole SHALL contain exactly one [1..1] code (CONF:3343-12103).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Provider-To-Provider-participant-participantRole-author-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.4'][@extension='2017-08-01']]/cda:participant[@typeCode='AUT']/cda:participantRole/cda:code">
+      <sch:assert id="a-3343-26953-error" test="@code='158965000'">This code SHALL contain exactly one [1..1] @code="158965000" Medical practitioner (CONF:3343-26953).</sch:assert>
+      <sch:assert id="a-3343-26954-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:3343-26954).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Family_History_Death_Observation-pattern-errors">
+    <sch:rule id="Family_History_Death_Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.47']]">
+      <sch:assert id="a-81-8621-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8621).</sch:assert>
+      <sch:assert id="a-81-8622-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-8622).</sch:assert>
+      <sch:assert id="a-81-8623-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.47'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:81-8623) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.47" (CONF:81-10495).</sch:assert>
+      <sch:assert id="a-81-19141-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:81-19141).</sch:assert>
+      <sch:assert id="a-81-8625-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:81-8625).</sch:assert>
+      <sch:assert id="a-81-8626-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:81-8626).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Death_Observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.47']]/cda:code">
+      <sch:assert id="a-81-19142-error" test="@code ='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:81-19142).</sch:assert>
+      <sch:assert id="a-81-26504-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:81-26504).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Death_Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.47']]/cda:statusCode">
+      <sch:assert id="a-81-19097-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:81-19097).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Death_Observation-value-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.47']]/cda:value">
+      <sch:assert id="a-81-26470-error" test="@code='419099009'">This value SHALL contain exactly one [1..1] @code="419099009" Dead (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96 STATIC) (CONF:81-26470).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Supply_Order-pattern-errors">
+    <sch:rule id="Medication_Supply_Order-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.17'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7427-error" test="@classCode='SPLY'">SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7427).</sch:assert>
+      <sch:assert id="a-1098-7428-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7428).</sch:assert>
+      <sch:assert id="a-1098-7429-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.17'][@extension='2014-06-09']) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-7429) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.17" (CONF:1098-10507). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32578).</sch:assert>
+      <sch:assert id="a-1098-7430-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-7430).</sch:assert>
+      <sch:assert id="a-1098-7432-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7432).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Supply_Order-statusCode-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.17'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32362-error" test="count(@code)=1">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.159331 DYNAMIC (CONF:1098-32362).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Supply_Order-may-entryRelationship-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.17'][@extension='2014-06-09']]/cda:entryRelationship">
+      <sch:assert id="a-1098-7444-error" test="@typeCode='SUBJ'">The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7444).</sch:assert>
+      <sch:assert id="a-1098-7445-error" test="@inversionInd='true'">The entryRelationship, if present, SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-7445).</sch:assert>
+      <sch:assert id="a-1098-31391-error" test="count(cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.20'][@extension='2014-06-09']])=1">The entryRelationship, if present, SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31391).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Provider-Characteristic-Observation-Assertion-pattern-errors">
+    <sch:rule id="Provider-Characteristic-Observation-Assertion-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.114'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27773-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CONF:3343-27773).</sch:assert>
+      <sch:assert id="a-3343-27774-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27774).</sch:assert>
+      <sch:assert id="a-3343-28101-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28101).</sch:assert>
+      <sch:assert id="a-3343-27768-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.114'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-27768) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.114" (CONF:3343-27772). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27780).</sch:assert>
+      <sch:assert id="a-3343-27775-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:3343-27775).</sch:assert>
+      <sch:assert id="a-3343-27767-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-27767).</sch:assert>
+      <sch:assert id="a-3343-27776-error" test="count(cda:statusCode[@code='completed'])=1">SHALL contain exactly one [1..1] statusCode="completed" Completed (CONF:3343-27776).</sch:assert>
+      <sch:assert id="a-3343-27770-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-27770).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Provider-Characteristic-Observation-Assertion-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.114'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-27771-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:3343-27771).</sch:assert>
+      <sch:assert id="a-3343-28136-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:3343-28136).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Provider-Characteristic-Observation-Assertion-participant-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.114'][@extension='2017-08-01']]/cda:participant">
+      <sch:assert id="a-3343-28219-error" test="@typeCode='IND'">The participant, if present, SHALL contain exactly one [1..1] @typeCode="IND" individual (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:3343-28219).</sch:assert>
+      <sch:assert id="a-3343-28218-error" test="count(cda:participantRole)=1">The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:3343-28218).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned-Supply-pattern-errors">
+    <sch:rule id="Planned-Supply-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.43'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8577-error" test="@classCode='SPLY'">SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8577).</sch:assert>
+      <sch:assert id="a-1098-8578-error" test="@moodCode and @moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.24']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (SubstanceAdministration/Supply) urn:oid:2.16.840.1.113883.11.20.9.24 STATIC 2011-09-30 (CONF:1098-8578).</sch:assert>
+      <sch:assert id="a-1098-30463-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.43'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-30463) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.43" (CONF:1098-30464). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32556).</sch:assert>
+      <sch:assert id="a-1098-8580-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-8580).</sch:assert>
+      <sch:assert id="a-1098-30458-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-30458).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Supply-statusCode-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.43'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32047-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32047).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Severity-Observation-pattern-errors">
+    <sch:rule id="Severity-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.8'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7345-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7345).</sch:assert>
+      <sch:assert id="a-1098-7346-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7346).</sch:assert>
+      <sch:assert id="a-1098-7347-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.8'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-7347) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.8" (CONF:1098-10525). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32577).</sch:assert>
+      <sch:assert id="a-1098-19168-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-19168).</sch:assert>
+      <sch:assert id="a-1098-7352-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7352).</sch:assert>
+      <sch:assert id="a-1098-7356-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem Severity urn:oid:2.16.840.1.113883.3.88.12.3221.6.8 DYNAMIC (CONF:1098-7356).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Severity-Observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.8'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-19169-error" test="@code='SEV'">This code SHALL contain exactly one [1..1] @code="SEV" Severity (CONF:1098-19169).</sch:assert>
+      <sch:assert id="a-1098-32170-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-32170).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Severity-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.8'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-19115-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19115).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Patient_Characteristic_Payer-pattern-errors">
+    <sch:rule id="Patient_Characteristic_Payer-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.55']]">
+      <sch:assert id="a-67-14213-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:67-14213).</sch:assert>
+      <sch:assert id="a-67-14214-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:67-14214).</sch:assert>
+      <sch:assert id="a-67-12561-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.55'][not(@extension)]) = 1">SHALL contain exactly one [1..1] templateId (CONF:67-12561) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.55" (CONF:67-12562).</sch:assert>
+      <sch:assert id="a-67-12564-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:67-12564).</sch:assert>
+      <sch:assert id="a-67-12565-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:67-12565).</sch:assert>
+      <sch:assert id="a-67-26933-error" test="count(cda:effectiveTime) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:67-26933).</sch:assert>
+      <sch:assert id="a-67-16710-error" test="count(cda:value[@xsi:type='CD']) = 1">SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:67-16710).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_Characteristic_Payer-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.55']]/cda:code">
+      <sch:assert id="a-67-14029-error" test="@code='48768-6'">This code SHALL contain exactly one [1..1] @code="48768-6" Payment source (CONF:67-14029).</sch:assert>
+      <sch:assert id="a-67-27009-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:67-27009).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_Characteristic_Payer-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.55']]/cda:effectiveTime">
+      <sch:assert id="a-67-26934-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:67-26934).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Communication-From-Provider-To-Patient-pattern-errors">
+    <sch:rule id="Communication-From-Provider-To-Patient-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.3'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-11840-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-11840).</sch:assert>
+      <sch:assert id="a-3343-11841-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11841).</sch:assert>
+      <sch:assert id="a-3343-11842-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.3'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11842) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.3" (CONF:3343-11843). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27280).</sch:assert>
+      <sch:assert id="a-3343-11845-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:3343-11845).</sch:assert>
+      <sch:assert id="a-3343-11846-error" test="count(cda:statusCode[@code='completed'])=1">SHALL contain exactly one [1..1] statusCode="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-11846).</sch:assert>
+      <sch:assert id="a-3343-26947-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-26947).</sch:assert>
+      <sch:assert id="a-3343-28920-error" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.155'][@extension='2017-08-01']]) = 1">SHALL contain exactly one [1..1] Author (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.155:2017-08-01) (CONF:3343-28920).</sch:assert>
+      <sch:assert id="a-3343-11850-error" test="count(cda:participant[@typeCode='AUT'][count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-11850) such that it SHALL contain exactly one [1..1] @typeCode="AUT" author (originator) (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:3343-11851). SHALL contain exactly one [1..1] participantRole (CONF:3343-11852).</sch:assert>
+      <sch:assert id="a-3343-11856-error" test="count(cda:participant[@typeCode='IRCP'] [count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-11856) such that it SHALL contain exactly one [1..1] @typeCode="IRCP" information recipient (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:3343-11857). SHALL contain exactly one [1..1] participantRole (CONF:3343-11858).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Provider-To-Patient-participant-participantRole-recipient-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.3'][@extension='2017-08-01']]/cda:participant[@typeCode='IRCP']/cda:participantRole">
+      <sch:assert id="a-3343-12102-error" test="@classCode='PAT'">This participantRole SHALL contain exactly one [1..1] @classCode="PAT" patient (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:3343-12102).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Provider-To-Patient-participant-participantRole-author-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.3'][@extension='2017-08-01']]/cda:participant[@typeCode='AUT']/cda:participantRole">
+      <sch:assert id="a-3343-12101-error" test="@classCode='ASSIGNED'">This participantRole SHALL contain exactly one [1..1] @classCode="ASSIGNED" assigned entity (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:3343-12101).</sch:assert>
+      <sch:assert id="a-3343-11853-error" test="count(cda:code)=1">This participantRole SHALL contain exactly one [1..1] code (CONF:3343-11853).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Provider-To-Patient-participant-participantRole-author-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.3'][@extension='2017-08-01']]/cda:participant[@typeCode='AUT']/cda:participantRole/cda:code">
+      <sch:assert id="a-3343-26948-error" test="@code='158965000'">This code SHALL contain exactly one [1..1] @code="158965000" Medical practitioner (CONF:3343-26948).</sch:assert>
+      <sch:assert id="a-3343-26949-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CONF:3343-26949).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Provider-Care-Experience-pattern-errors">
+    <sch:rule id="Provider-Care-Experience-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.67'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-12479-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" observation, which SHALL be selected from CodeSystem HL7ActClass (urn:oid:2.16.840.1.113883.5.6) (CONF:3343-12479).</sch:assert>
+      <sch:assert id="a-3343-12480-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" event, which SHALL be selected from CodeSystem ActMood (urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12480).</sch:assert>
+      <sch:assert id="a-3343-28100-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28100).</sch:assert>
+      <sch:assert id="a-3343-12481-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.67'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-12481) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.67" (CONF:3343-12482). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27293).</sch:assert>
+      <sch:assert id="a-3343-12484-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:3343-12484).</sch:assert>
+      <sch:assert id="a-3343-12485-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-12485).</sch:assert>
+      <sch:assert id="a-3343-12486-error" test="count(cda:statusCode[@code='completed'])=1">SHALL contain exactly one [1..1] statusCode="completed", which SHALL be selected from CodeSystem ActStatus (urn:oid:2.16.840.1.113883.5.14) (CONF:3343-12486).</sch:assert>
+      <sch:assert id="a-3343-12572-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-12572).</sch:assert>
+      <sch:assert id="a-3343-28941-error" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.155'][@extension='2017-08-01']]) = 1">SHALL contain exactly one [1..1] Author (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.155:2017-08-01) (CONF:3343-28941).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Provider-Care-Experience-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.67'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-27562-error" test="@code='77219-4'">This code SHALL contain exactly one [1..1] @code="77219-4" Provider satisfaction with healthcare delivery (CONF:3343-27562).</sch:assert>
+      <sch:assert id="a-3343-27563-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3343-27563).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Device-Applied-pattern-errors">
+    <sch:rule id="Device-Applied-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.7'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28050-error" test="@classCode='PROC'">SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28050).</sch:assert>
+      <sch:assert id="a-3343-28051-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28051).</sch:assert>
+      <sch:assert id="a-3343-12391-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.7'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-12391) such that it  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.7" (CONF:3343-12392).  SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27132).</sch:assert>
+      <sch:assert id="a-3343-12414-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-12414).</sch:assert>
+      <sch:assert id="a-3343-12394-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-12394).</sch:assert>
+      <sch:assert id="a-3343-12395-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-12395).</sch:assert>
+      <sch:assert id="a-3343-12396-error" test="count(cda:participant[@typeCode='DEV'][count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-12396) such that it SHALL contain exactly one [1..1] @typeCode="DEV" device, which SHALL be selected from CodeSystem HL7ParticipationType (urn:oid:2.16.840.1.113883.5.90) (CONF:3343-12397).  SHALL contain exactly one [1..1] participantRole (CONF:3343-12398).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Applied-code-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.7'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-12415-error" test="@code='360030002'">This code SHALL contain exactly one [1..1] @code="360030002" application of device (CONF:3343-12415).</sch:assert>
+      <sch:assert id="a-3343-27356-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:3343-27536).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Applied-statusCode-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.7'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-29140-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-29140).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Applied-effectiveTime-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.7'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-27537-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-27537).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Applied-participant-participantRole-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.7'][@extension='2017-08-01']]/cda:participant[@typeCode='DEV']/cda:participantRole">
+      <sch:assert id="a-3343-12399-error" test="@classCode='MANU'">This participantRole SHALL contain exactly one [1..1] @classCode="MANU" manufactured product, which SHALL be selected from CodeSystem HL7RoleClass (urn:oid:2.16.840.1.113883.5.110) (CONF:3343-12399).</sch:assert>
+      <sch:assert id="a-3343-12400-error" test="count(cda:playingDevice)=1">This participantRole SHALL contain exactly one [1..1] playingDevice (CONF:3343-12400).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Applied-participant-participantRole-playingDevice-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.7'][@extension='2017-08-01']]/cda:participant[@typeCode='DEV']/cda:participantRole[@classCode='MANU']/cda:playingDevice">
+      <sch:assert id="a-3343-12401-error" test="@classCode='DEV'">This playingDevice SHALL contain exactly one [1..1] @classCode="DEV" device, which SHALL be selected from CodeSystem HL7ParticipationType (urn:oid:2.16.840.1.113883.5.90) (CONF:3343-12401).</sch:assert>
+      <sch:assert id="a-3343-12402-error" test="count(cda:code)=1">This playingDevice SHALL contain exactly one [1..1] code (CONF:3343-12402).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Service-Delivery-Location-pattern-errors">
+    <sch:rule id="Service-Delivery-Location-errors" context="cda:participationRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.32']]">
+      <sch:assert id="a-81-28426-error" test="@classCode='SDLOC'">SHALL contain exactly one [1..1] @classCode="SDLOC" (CodeSystem: RoleCode urn:oid:2.16.840.1.113883.5.111 STATIC) (CONF:81-7758).</sch:assert>
+      <sch:assert id="a-81-10524-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.32'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:81-7635) such that it  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.32" (CONF:81-10524).</sch:assert>
+      <sch:assert id="a-81-16850-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet HealthcareServiceLocation urn:oid:2.16.840.1.113883.1.11.20275 STATIC (CONF:81-16850).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Service-Delivery-Location-playingEntity-errors" context="cda:participationRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.32']]/cda:playingEntity">
+      <sch:assert id="a-81-7763-error" test="@classCode='PLC'">The playingEntity, if present, SHALL contain exactly one [1..1] @classCode="PLC" (CodeSystem: EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:81-7763).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Recommended-Act-pattern-errors">
+    <sch:rule id="Encounter-Recommended-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.134'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28487-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28487).</sch:assert>
+      <sch:assert id="a-3343-28488-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28488</sch:assert>
+      <sch:assert id="a-3343-28485-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.134'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28485) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.134" (CONF:3343-28490). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28815).</sch:assert>
+      <sch:assert id="a-3343-28677-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28677).</sch:assert>
+      <sch:assert id="a-3343-28486-error" test="count(cda:entryRelationship[@typeCode='SUBJ'][count(cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.24'][@extension='2017-08-01']])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28486) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28492).  SHALL contain exactly one [1..1] Encounter Recommended (V4) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.24:2017-08-01) (CONF:3343-28493).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Recommended-Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.134'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28814-error" test="@code='ENC'">This code SHALL contain exactly one [1..1] @code="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28814).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Device-Order-pattern-errors">
+    <sch:rule id="Device-Order-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.9'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27723-error" test="@classCode='SPLY'">SHALL contain exactly one [1..1] @classCode="SPLY" Supply (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27723).</sch:assert>
+      <sch:assert id="a-3343-12343-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request, which SHALL be selected from CodeSystem ActMood (urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12343).</sch:assert>
+      <sch:assert id="a-3343-12344-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.9'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-12344) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.9" (CONF:3343-12345). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27091).</sch:assert>
+      <sch:assert id="a-3343-27721-error" test="count(cda:author)=1">SHALL contain exactly one [1..1] author (CONF:3343-27721).</sch:assert>
+      <sch:assert id="a-3343-12349-error" test="count(cda:participant[@typeCode='DEV'][count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-12349) such that it  SHALL contain exactly one [1..1] @typeCode="DEV" device, which SHALL be selected from CodeSystem HL7ParticipationType (urn:oid:2.16.840.1.113883.5.90) (CONF:3343-12350). SHALL contain exactly one [1..1] participantRole (CONF:3343-12351).</sch:assert>
+      <sch:assert id="a-3343-28665-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.130'][@extension='2017-08-01'])=1">This template SHALL be contained by a Device Order Act (V2) (CONF:3343-28665).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Order-author-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.9'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29086-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29086).</sch:assert>
+      <sch:assert id="a-3343-29085-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29085).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Order-author-assignedAuthor-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.9'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29087-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29087).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Order-participant-participantRole-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.9'][@extension='2017-08-01']]/cda:participant[@typeCode='DEV']/cda:participantRole">
+      <sch:assert id="a-3343-12353-error" test="count(cda:playingDevice)=1">This participantRole SHALL contain exactly one [1..1] playingDevice (CONF:3343-12353).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Order-participant-participantRole-playingDevice-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.9'][@extension='2017-08-01']]/cda:participant[@typeCode='DEV']/cda:participantRole/cda:playingDevice">
+      <sch:assert id="a-3343-12354-error" test="@classCode='DEV'">This playingDevice SHALL contain exactly one [1..1] @classCode="DEV" device, which SHALL be selected from CodeSystem HL7ParticipationType (urn:oid:2.16.840.1.113883.5.90) (CONF:3343-12354).</sch:assert>
+      <sch:assert id="a-3343-12355-error" test="count(cda:code)=1">his playingDevice SHALL contain exactly one [1..1] code (CONF:3343-12355).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Measure-section-qdm-pattern-errors">
+    <sch:rule id="Measure-section-qdm-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.24.2.3']]">
+      <sch:assert id="a-67-12803-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.2.3'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:67-12803) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.2.3" (CONF:67-12804).</sch:assert>
+      <sch:assert id="a-67-12978-error" test="count(cda:entry) &gt; 0">SHALL contain at least one [1..*] entry (CONF:67-12978).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Measure-section-qdm-entry-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.24.2.3']]/cda:entry">
+      <sch:assert id="a-67-13193-error" test="count(cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']])=1">Such entries SHALL contain exactly one [1..1] eMeasure Reference QDM (identifier: urn:oid:2.16.840.1.113883.10.20.24.3.97) (CONF:67-13193).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Discharge-Medication-pattern-errors">
+    <sch:rule id="Discharge-Medication-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.105'][@extension='2016-02-01']]">
+      <sch:assert id="a-2228-16550-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:2228-16550).</sch:assert>
+      <sch:assert id="a-2228-16551-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:2228-16551).</sch:assert>
+      <sch:assert id="a-2228-26956-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.105'][@extension='2016-02-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:2228-26956) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.105" (CONF:2228-26957). SHALL contain exactly one [1..1] @extension="2016-02-01" (CONF:2228-27037).</sch:assert>
+      <sch:assert id="a-2228-26955-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:2228-26955).</sch:assert>
+      <sch:assert id="a-2228-16552-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:2228-16552).</sch:assert>
+      <sch:assert id="a-2228-16553-error" test="count(cda:entryRelationship[@typeCode='SUBJ'] [count(cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16' ][@extension='2014-06-09']])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:2228-16553) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:2228-16554) SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:2228-16555).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Discharge-Medication-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.105'][@extension='2016-02-01']]/cda:code">
+      <sch:assert id="a-2228-28140-error" test="@code='75311-1'">This code SHALL contain exactly one [1..1] @code="75311-1" Discharge medications (CONF:2228-28140).</sch:assert>
+      <sch:assert id="a-2228-28141-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2228-28141).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Diagnosis_concern_act-pattern-errors">
+    <sch:rule id="Diagnosis_concern_act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.137'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28148-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28148).</sch:assert>
+      <sch:assert id="a-3343-28149-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28149).</sch:assert>
+      <sch:assert id="a-3343-28143-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.137'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28143) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.137" (CONF:3343-28146). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28692).</sch:assert>
+      <sch:assert id="a-3343-28144-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-28144).</sch:assert>
+      <sch:assert id="a-3343-28142-error" test="count(cda:entryRelationship[@typeCode='SUBJ'] [count(cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.135' ][@extension='2017-08-01']])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28142) such that it  SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28151).  SHALL contain exactly one [1..1] Diagnosis (identifier: urn:oid:2.16.840.1.113883.10.20.24.3.135:2017-08-01) (CONF:3343-28145).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Diagnosis_concern_act-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.137'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-28150-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet QDM Diagnosis Status urn:oid:2.16.840.1.113762.1.4.1021.35 DYNAMIC (CONF:3343-28150).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Family_History_Organizer_V3-pattern-errors">
+    <sch:rule id="Family_History_Organizer_V3-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-8600-error" test="@classCode='CLUSTER'">SHALL contain exactly one [1..1] @classCode="CLUSTER" Cluster (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8600).</sch:assert>
+      <sch:assert id="a-1198-8601-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8601).</sch:assert>
+      <sch:assert id="a-1198-8604-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-8604) such that it 
+					SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.45" (CONF:1198-10497). 
+					SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32606).</sch:assert>
+      <sch:assert id="a-1198-32485-error" test="count(cda:id)  &gt; 0">SHALL contain at least one [1..*] id (CONF:1198-32485).</sch:assert>
+      <sch:assert id="a-1198-8602-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1198-8602).</sch:assert>
+      <sch:assert id="a-1198-8609-error" test="count(cda:subject)  = 1">SHALL contain exactly one [1..1] subject (CONF:1198-8609).</sch:assert>
+      <sch:assert id="a-1198-32428-error" test="count(cda:component) &gt; 0">SHALL contain at least one [1..*] component (CONF:1198-32428).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Organizer_V3-statusCode-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:statusCode">
+      <sch:assert id="a-1198-19099-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19099).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Organizer_V3-subject-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:subject">
+      <sch:assert id="a-1198-15244-error" test="count(cda:relatedSubject) = 1">This subject SHALL contain exactly one [1..1] relatedSubject (CONF:1198-15244).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Organizer_V3-relatedSubject-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:subject/cda:relatedSubject">
+      <sch:assert id="a-1198-15245-error" test="@classCode='PRS'">This relatedSubject SHALL contain exactly one [1..1] @classCode="PRS" Person (CodeSystem: EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:1198-15245).</sch:assert>
+      <sch:assert id="a-1198-15246-error" test="count(cda:code) = 1">This relatedSubject SHALL contain exactly one [1..1] code (CONF:1198-15246).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Organizer_V3-code-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:subject/cda:relatedSubject/cda:code">
+      <sch:assert id="a-1198-15247-error" test="@code">This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Family Member Value Set urn:oid:2.16.840.1.113883.1.11.19579 DYNAMIC (CONF:1198-15247).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Organizer_V3-relatedSubject-subject-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:subject/cda:relatedSubject/cda:subject">
+      <sch:assert id="a-1198-15974-error" test="count(cda:administrativeGenderCode) = 1">The subject, if present, SHALL contain exactly one [1..1] administrativeGenderCode (CONF:1198-15974).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Organizer_V3-relatedSubject-administrativeGenderCode-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:subject/cda:relatedSubject/cda:subject/cda:administrativeGenderCode">
+      <sch:assert id="a-1198-15975-error" test="@code">This administrativeGenderCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:1198-15975).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Organizer_V3-component-subject-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:component">
+      <sch:assert id="a-1198-32429-error" test="count(cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.46'][@extension='2015-08-01']]) = 1">Such components SHALL contain exactly one [1..1] Family History Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.46:2015-08-01) (CONF:1198-32429).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Physical_Exam_Recommended-pattern-errors">
+    <sch:rule id="Physical_Exam_Recommended-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.60'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27556-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27556).</sch:assert>
+      <sch:assert id="a-3343-12665-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12665).</sch:assert>
+      <sch:assert id="a-3343-12666-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.60'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-12666) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.60" (CONF:3343-12667). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27082).</sch:assert>
+      <sch:assert id="a-3343-12669-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-12669).</sch:assert>
+      <sch:assert id="a-3343-13275-error" test="count(cda:value[@xsi:type='CD']) = 1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-13275).</sch:assert>
+      <sch:assert id="a-3343-27351-error" test="count(cda:author) = 1">SHALL contain exactly one [1..1] author (CONF:3343-27351).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Physical_Exam_Recommended-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.60'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-13274-error" test="@code='29545-1'">This code SHALL contain exactly one [1..1] @code="29545-1" physical examination (CONF:3343-13274).</sch:assert>
+      <sch:assert id="a-3343-28132-error" test="@codeSystem='2.16.840.1.113883.6.1' ">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3343-28132).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Physical_Exam_Recommended-author-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.60'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29053-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29053).</sch:assert>
+      <sch:assert id="a-3343-29052-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29052).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Physical_Exam_Recommended-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.60'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29054-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29054).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Laboratory_Test_Performed-pattern-errors">
+    <sch:rule id="Laboratory_Test_Performed-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.38'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-11705-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-11705).</sch:assert>
+      <sch:assert id="a-3343-11706-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11706).</sch:assert>
+      <sch:assert id="a-3343-11721-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.38'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-11721) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.38" (CONF:3343-11722). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27021).</sch:assert>
+      <sch:assert id="a-3343-11707-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:3343-11707).</sch:assert>
+      <sch:assert id="a-3343-27637-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-27637).</sch:assert>
+      <sch:assert id="a-3343-11709-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-11709).</sch:assert>
+      <sch:assert id="a-3343-11711-error" test="count(cda:effectiveTime[count(cda:low)=1] [count(cda:high)=1]) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-11711) such that it  SHALL contain exactly one [1..1] low (CONF:3343-11712).  SHALL contain exactly one [1..1] high (CONF:3343-11713).</sch:assert>
+      <sch:assert id="a-3343-29134-error" test="count(cda:value)=0">SHALL NOT contain [0..0] value (CONF:3343-29134).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Laboratory_Test_Performed-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.38'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-11710-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-11710).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Laboratory_Test_Performed-author-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.38'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29125-error" test="count(cda:time)=1">The author, if present, SHALL contain exactly one [1..1] time (CONF:3343-29125).</sch:assert>
+      <sch:assert id="a-3343-29121-error" test="count(cda:assignedAuthor)=1">The author, if present, SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29121).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Laboratory_Test_Performed-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.38'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29126-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29126).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Laboratory_Test_Performed-referenceRange-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.38'][@extension='2017-08-01']]/cda:referenceRange">
+      <sch:assert id="a-3343-29124-error" test="count(cda:observationRange)=1">The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:3343-29124).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Laboratory_Test_Performed-referenceRange-observationRange-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.38'][@extension='2017-08-01']]/cda:referenceRange/cda:observationRange">
+      <sch:assert id="a-3343-29129-error" test="count(cda:code)=0">This observationRange SHALL NOT contain [0..0] code (CONF:3343-29129).</sch:assert>
+      <sch:assert id="a-3343-29130-error" test="count(cda:value[@xsi:type='IVL_PQ'])=0">This observationRange SHALL contain exactly one [1..1] value with @xsi:type="IVL_PQ" (CONF:3343-29130).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Allergy_status_observation-pattern-errors">
+    <sch:rule id="Allergy_status_observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.28']]">
+      <sch:assert id="a-1098-7318-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7318).</sch:assert>
+      <sch:assert id="a-1098-7319-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7319).</sch:assert>
+      <sch:assert id="a-1098-7317-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.28'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-7317) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.28" (CONF:1098-10490).</sch:assert>
+      <sch:assert id="a-1098-7320-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-7320).</sch:assert>
+      <sch:assert id="a-1098-7321-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7321).</sch:assert>
+      <sch:assert id="a-1098-7322-error" test="count(cda:value[@xsi:type='CE'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CE", where the code SHALL be selected from ValueSet Problem Status urn:oid:2.16.840.1.113883.3.88.12.80.68 DYNAMIC (CONF:1098-7322).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Allergy_status_observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.28']]/cda:code">
+      <sch:assert id="a-1098-19131-error" test="@code='33999-4'">This code SHALL contain exactly one [1..1] @code="33999-4" Status (CONF:1098-19131).</sch:assert>
+      <sch:assert id="a-1098-32155-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32155).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Allergy_status_observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.28']]/cda:statusCode">
+      <sch:assert id="a-1098-19087-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19087).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Patient_Characteristic_Observation_Assertion-pattern-errors">
+    <sch:rule id="Patient_Characteristic_Observation_Assertion-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.103'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-16536-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CONF:3343-16536).</sch:assert>
+      <sch:assert id="a-3343-16537-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-16537).</sch:assert>
+      <sch:assert id="a-3343-28623-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28623).</sch:assert>
+      <sch:assert id="a-3343-26962-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.103'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-26962) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.103" (CONF:3343-26963) SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27781).</sch:assert>
+      <sch:assert id="a-3343-16538-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:3343-16538).</sch:assert>
+      <sch:assert id="a-3343-16544-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-16544).</sch:assert>
+      <sch:assert id="a-3343-16539-error" test="count(cda:statusCode[@code='completed']) = 1">SHALL contain exactly one [1..1] statusCode="completed" Completed (CONF:3343-16539).</sch:assert>
+      <sch:assert id="a-3343-16540-error" test="count(cda:effectiveTime) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-16540).</sch:assert>
+      <sch:assert id="a-3343-16541-error" test="count(cda:value[@xsi:type='CD']) = 1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-16541)</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_Characteristic_Observation_Assertion-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.103'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-16545-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" (CONF:3343-16545).</sch:assert>
+      <sch:assert id="a-3343-28135-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:3343-28135).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_Characteristic_Observation_Assertion-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.103'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-27670-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-27670).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Patient_Characteristic_Clinical_Trial_Participant-pattern-errors">
+    <sch:rule id="Patient_Characteristic_Clinical_Trial_Participant-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.51'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-16711-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-16711).</sch:assert>
+      <sch:assert id="a-3343-12526-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" event, which SHALL be selected from CodeSystem ActMood (urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12526).</sch:assert>
+      <sch:assert id="a-3343-28086-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28086).</sch:assert>
+      <sch:assert id="a-3343-12537-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.51'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-12537) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.51" (CONF:3343-12538).SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27026).</sch:assert>
+      <sch:assert id="a-3343-26996-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:3343-26996).</sch:assert>
+      <sch:assert id="a-3343-13041-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-13041).</sch:assert>
+      <sch:assert id="a-3343-13042-error" test="count(cda:statusCode[@code='active']) = 1">SHALL contain exactly one [1..1] statusCode="active" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-13042).</sch:assert>
+      <sch:assert id="a-3343-12536-error" test="count(cda:effectiveTime) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-12536).</sch:assert>
+      <sch:assert id="a-3343-16712-error" test="count(cda:value[@xsi:type='CD']) = 1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-16712).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_Characteristic_Clinical_Trial_Participant-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.51'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28130-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:3343-28130).</sch:assert>
+      <sch:assert id="a-3343-28131-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:3343-28131).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_Characteristic_Clinical_Trial_Participant-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.51'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-27668-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-27668).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Dispensed-pattern-errors">
+    <sch:rule id="Medication_Dispensed-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27528-error" test="@classCode='SPLY'">SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27528).</sch:assert>
+      <sch:assert id="a-3343-27529-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-27529).</sch:assert>
+      <sch:assert id="a-3343-13851-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-13851) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.45" (CONF:3343-13852). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-26555).</sch:assert>
+      <sch:assert id="a-3343-19440-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:3343-19440).</sch:assert>
+      <sch:assert id="a-3343-28910-error" test="count(cda:author) = 1">SHALL contain exactly one [1..1] author (CONF:3343-28910).</sch:assert>
+      <sch:assert id="a-3343-28908-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.139'][@extension='2017-08-01']) = 1">This template SHALL be contained by a Medication Dispensed Act (V2) (CONF:3343-28908).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed-author-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29011-error" test="count(cda:time) = 1">This author SHALL contain exactly one [1..1] time (CONF:3343-29011).</sch:assert>
+      <sch:assert id="a-3343-29010-error" test="count(cda:assignedAuthor) = 1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29010).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed-author-assignedAuthor-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29012-error" test="count(cda:id) &gt;= 1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29012).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed-statuscode-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-19441-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-19441).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed-effectiveTime-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-29143-error" test="count(cda:low)=1">The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:3343-29143).</sch:assert>
+      <sch:assert id="a-3343-29144-error" test="count(cda:high)=1">The effectiveTime, if present, SHALL contain exactly one [1..1] high (CONF:3343-29144).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed-entryRelationship-substanceAdministration-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]/cda:entryRelationship[@typeCode='REFR']/cda:substanceAdministration">
+      <sch:assert id="a-3343-28226-error" test="@classCode='SBADM'">This substanceAdministration SHALL contain exactly one [1..1] @classCode="SBADM" Substance Administration (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28226).</sch:assert>
+      <sch:assert id="a-3343-28227-error" test="@moodCode='EVN'">This substanceAdministration SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28227).</sch:assert>
+      <sch:assert id="a-3343-28229-error" test="count(cda:consumable)=1">This substanceAdministration SHALL contain exactly one [1..1] consumable (CONF:3343-28229).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed-entryRelationship-substanceAdministration-consumable-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]/cda:entryRelationship[@typeCode='REFR']/cda:substanceAdministration/cda:consumable">
+      <sch:assert id="a-3343-28230-error" test="count(cda:manufacturedProduct)=1">This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:3343-28230).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed-entryRelationship-substanceAdministration-consumable-manufacturedProduct-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]/cda:entryRelationship[@typeCode='REFR']/cda:substanceAdministration/cda:consumable/cda:manufacturedProduct">
+      <sch:assert id="a-3343-28231-error" test="count(cda:manufacturedMaterial)=1">This manufacturedProduct SHALL contain exactly one [1..1] manufacturedMaterial (CONF:3343-28231).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed-entryRelationship-substanceAdministration-consumable-manufacturedProduct-manufacturedMaterial-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']]/cda:entryRelationship[@typeCode='REFR']/cda:substanceAdministration/cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial">
+      <sch:assert id="a-3343-28232-error" test="@nullFlavor='NA'">This manufacturedMaterial SHALL contain exactly one [1..1] @nullFlavor="NA" (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:3343-28232).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Recommended-pattern-errors">
+    <sch:rule id="Procedure-Recommended-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.65'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27337-error" test="@classCode='PROC'">SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27337).</sch:assert>
+      <sch:assert id="a-3343-11103-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11103).</sch:assert>
+      <sch:assert id="a-3343-11104-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.65'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11104) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.65" (CONF:3343-11105). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27086).</sch:assert>
+      <sch:assert id="a-3343-11107-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-11107).</sch:assert>
+      <sch:assert id="a-3343-27352-error" test="count(cda:author)=1">SHALL contain exactly one [1..1] author (CONF:3343-27352).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Recommended-author-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.65'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29059-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29059).</sch:assert>
+      <sch:assert id="a-3343-29058-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29058).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Recommended-author-assignedAuthor-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.65'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29060-warning" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29060).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Patient_Characteristic_Expired-pattern-errors">
+    <sch:rule id="Patient_Characteristic_Expired-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.54'][@extension='2016-02-01']]">
+      <sch:assert id="a-2228-28087-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:2228-28087).</sch:assert>
+      <sch:assert id="a-2228-28088-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:2228-28088).</sch:assert>
+      <sch:assert id="a-2228-28089-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:2228-28089).</sch:assert>
+      <sch:assert id="a-2228-12540-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.54'][@extension='2016-02-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:2228-12540) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.54" (CONF:2228-12541). SHALL contain exactly one [1..1] @extension="2016-02-01" (CONF:2228-27014).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Product-Instance-pattern-errors">
+    <sch:rule id="Product-Instance-errors" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.37']]">
+      <sch:assert id="a-81-7900-error" test="@classCode='MANU'">SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:81-7900).</sch:assert>
+      <sch:assert id="a-81-7901-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.37'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:81-7901) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.37" (CONF:81-10522).</sch:assert>
+      <sch:assert id="a-81-7902-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:81-7902).</sch:assert>
+      <sch:assert id="a-81-7903-error" test="count(cda:playingDevice)=1">SHALL contain exactly one [1..1] playingDevice (CONF:81-7903).</sch:assert>
+      <sch:assert id="a-81-7905-error" test="count(cda:scopingEntity)=1">SHALL contain exactly one [1..1] scopingEntity (CONF:81-7905).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Product-Instance-scopingEntity-errors" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.37']]/cda:scopingEntity">
+      <sch:assert id="a-81-7908-error" test="count(cda:id)&gt;=1">This scopingEntity SHALL contain at least one [1..*] id (CONF:81-7908).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Assessment_recommended-pattern-errors">
+    <sch:rule id="Assessment_recommended-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.145'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28682-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28682).</sch:assert>
+      <sch:assert id="a-3343-28681-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28681).</sch:assert>
+      <sch:assert id="a-3343-28673-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.145'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28673) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.145" (CONF:3343-28676). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28702).</sch:assert>
+      <sch:assert id="a-3343-28674-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28674).</sch:assert>
+      <sch:assert id="a-3343-28680-error" test="count(cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1])=1">SHALL contain exactly one [1..1] author (CONF:3343-28680) such that it SHALL contain exactly one [1..1] time (CONF:3343-29038). SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29037).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Assessment_recommended-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.145'][@extension='2017-08-01']]/cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1]/cda:assignedAuthor">
+      <sch:assert id="a-3343-29039-error" test="count(cda:id) &gt; 0">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29039).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Incision_datetime-pattern-errors">
+    <sch:rule id="Incision_datetime-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.89']]">
+      <sch:assert id="a-67-14559-error" test="@classCode='PROC'">SHALL contain exactly one [1..1] @classCode="PROC" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:67-14559).</sch:assert>
+      <sch:assert id="a-67-11401-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:67-11401).</sch:assert>
+      <sch:assert id="a-67-11402-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.89'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:67-11402) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.89" (CONF:67-11403).</sch:assert>
+      <sch:assert id="a-67-26984-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:67-26984).</sch:assert>
+      <sch:assert id="a-67-14562-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:67-14562).</sch:assert>
+      <sch:assert id="a-67-14561-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:67-14561).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Incision_datetime-code-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.89']]/cda:code">
+      <sch:assert id="a-67-27014-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:67-27014).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Performed-pattern-errors">
+    <sch:rule id="Encounter-Performed-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.23'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27532-error" test="@classCode='ENC'">SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27532).</sch:assert>
+      <sch:assert id="a-3343-27533-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-27533).</sch:assert>
+      <sch:assert id="a-3343-11861-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.23'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11861) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.23" (CONF:3343-11862).  SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-26552).</sch:assert>
+      <sch:assert id="a-3343-28802-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:3343-28802).</sch:assert>
+      <sch:assert id="a-3343-27624-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-27624).</sch:assert>
+      <sch:assert id="a-3343-11874-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-11874).</sch:assert>
+      <sch:assert id="a-3343-11876-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-11876).</sch:assert>
+      <sch:assert id="a-3343-28803-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.133'][@extension='2017-08-01'])=1">This template SHALL be contained by an Encounter Performed Act (V2) (CONF:3343-28803).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Performed-id-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.23'][@extension='2017-08-01']]/cda:id">
+      <sch:assert id="a-3343-28804-error" test="@root">Such ids SHALL contain exactly one [1..1] @root (CONF:3343-28804).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Performed-statusCode-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.23'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-11875-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-11875).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Performed-effectiveTime-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.23'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-11877-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-11877).</sch:assert>
+      <sch:assert id="a-3343-11878-error" test="count(cda:high)=1">This effectiveTime SHALL contain exactly one [1..1] high (CONF:3343-11878).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Order-pattern-errors">
+    <sch:rule id="Encounter-Order-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.22'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27534-error" test="@classCode='ENC'">SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27534).</sch:assert>
+      <sch:assert id="a-3343-11932-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11932).</sch:assert>
+      <sch:assert id="a-3343-11933-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.22'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11933) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.22" (CONF:3343-11934).  SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27064).</sch:assert>
+      <sch:assert id="a-3343-11936-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-11936).</sch:assert>
+      <sch:assert id="a-3343-27341-error" test="count(cda:author)=1">SHALL contain exactly one [1..1] author (CONF:3343-27341).</sch:assert>
+      <sch:assert id="a-3343-28668-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.132'][@extension='2017-08-01'])=1">This template SHALL be contained by an Encounter Order Act (V2) (CONF:3343-28668).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Order-author-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.22'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29023-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29023).</sch:assert>
+      <sch:assert id="a-3343-29022-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29022).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Order-author-assignedAuthor-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.22'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29024-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29024).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Precondition-For-Substance-Administration-pattern-errors">
+    <sch:rule id="Precondition-For-Substance-Administration-errors" context="cda:criterion[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.25'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7372-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.25'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-7372) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.25" (CONF:1098-10517). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32603).</sch:assert>
+      <sch:assert id="a-1098-32396-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code with @xsi:type="CD" (CONF:1098-32396).</sch:assert>
+      <sch:assert id="a-098-7369-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1098-7369).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Precondition-For-Substance-Administration-code-errors" context="cda:criterion[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.25'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-32397-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:1098-32397).</sch:assert>
+      <sch:assert id="a-1098-32398-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-32398).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Order-pattern-errors">
+    <sch:rule id="Medication_Order-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.47'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27377-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27377).</sch:assert>
+      <sch:assert id="a-3343-12639-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12639).</sch:assert>
+      <sch:assert id="a-3343-12585-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.47'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-12585) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.47" (CONF:3343-12586). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27089).</sch:assert>
+      <sch:assert id="a-3343-27740-error" test="count(cda:effectiveTime[count(cda:low)=1][count(cda:high)=1]) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-27740) such that it SHALL contain exactly one [1..1] low (CONF:3343-27742) SHALL contain exactly one [1..1] high (CONF:3343-29141).</sch:assert>
+      <sch:assert id="a-3343-27745-error" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.155'][@extension='2017-08-01']]) = 1">SHALL contain exactly one [1..1] Author (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.155:2017-08-01) (CONF:3343-27745).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Information-pattern-errors">
+    <sch:rule id="Medication_Information-errors" context="cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.23'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7408-error" test="@classCode='MANU'">SHALL contain exactly one [1..1] @classCode="MANU" (CodeSystem: RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1098-7408).</sch:assert>
+      <sch:assert id="a-1098-7409-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.23'][@extension='2014-06-09']) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-7409) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.23" (CONF:1098-10506). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32579).</sch:assert>
+      <sch:assert id="a-1098-7411-error" test="count(cda:manufacturedMaterial) = 1">SHALL contain exactly one [1..1] manufacturedMaterial (CONF:1098-7411).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Information-manufacturedMaterial-errors" context="cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.23'][@extension='2014-06-09']]/cda:manufacturedMaterial">
+      <sch:assert id="a-1098-7412-error" test="count(cda:code) = 1">This manufacturedMaterial SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Medication Clinical Drug urn:oid:2.16.840.1.113762.1.4.1010.4 DYNAMIC (CONF:1098-7412).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Facility-Location-pattern-errors">
+    <sch:rule id="Facility-Location-errors" context="cda:participant[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.100'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-13374-error" test="@typeCode='LOC'">SHALL contain exactly one [1..1] @typeCode="LOC" location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:3343-13374).</sch:assert>
+      <sch:assert id="a-3343-13375-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.100'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-13375) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.100" (CONF:3343-13376) SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28729).</sch:assert>
+      <sch:assert id="a-3343-13371-error" test="count(cda:time)=1">SHALL contain exactly one [1..1] time (CONF:3343-13371).</sch:assert>
+      <sch:assert id="a-3343-13372-error" test="count(cda:participantRole)=1">SHALL contain exactly one [1..1] participantRole (CONF:3343-13372).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Facility-Location-participantRole-errors" context="cda:participant[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.100']]/cda:participantRole">
+      <sch:assert id="a-3343-13373-error" test="@classCode='SDLOC'">This participantRole SHALL contain exactly one [1..1] @classCode="SDLOC" service delivery location (CodeSystem: RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:3343-13373).</sch:assert>
+      <sch:assert id="a-3343-13378-error" test="count(cda:code)=1">This participantRole SHALL contain exactly one [1..1] code (CONF:3343-13378).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Facility-Location-participantRole-playingEntity-errors" context="cda:participant[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.100']]/cda:participantRole/cda:playingEntity">
+      <sch:assert id="a-3343-13382-error" test="@classCode='PLC'">The playingEntity, if present, SHALL contain exactly one [1..1] @classCode="PLC" place (CodeSystem: EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:3343-13382).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Facility-Location-time-errors" context="cda:participant[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.100']]/cda:time">
+      <sch:assert id="a-3343-13384-error" test="count(cda:low)=1">This time SHALL contain exactly one [1..1] low (CONF:3343-13384).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Allergy-Intolerance-pattern-errors">
+    <sch:rule id="Allergy-Intolerance-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.147'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28826-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:3343-28826).</sch:assert>
+      <sch:assert id="a-3343-28827-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:3343-28827).</sch:assert>
+      <sch:assert id="a-3343-28848-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28848).</sch:assert>
+      <sch:assert id="a-3343-28816-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.147'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-28816) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.147" (CONF:3343-28828). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28829).</sch:assert>
+      <sch:assert id="a-3343-28817-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28817).</sch:assert>
+      <sch:assert id="a-3343-28819-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-28819).</sch:assert>
+      <sch:assert id="a-3343-28836-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-28836).</sch:assert>
+      <sch:assert id="a-3343-28820-error" test="count(cda:participant[@typeCode='CSM'][count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-28820) such that it SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:3343-28837). SHALL contain exactly one [1..1] participantRole (CONF:3343-28821).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Allergy-Intolerance-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.147'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28831-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:3343-28831).</sch:assert>
+      <sch:assert id="a-3343-28832-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:3343-28832).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Allergy-Intolerance-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.147'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-28834-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-28834).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Allergy-Intolerance-value-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.147'][@extension='2017-08-01']]/cda:value[@xsi:type='CD']">
+      <sch:assert id="a-3343-28849-error" test="@code='419199007'">This value SHALL contain exactly one [1..1] @code="419199007" Allergy to substance (CONF:3343-28849).</sch:assert>
+      <sch:assert id="a-3343-28850-error" test="@codeSystem='2.16.840.1.113883.6.96'">This value SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:3343-28850).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Allergy-Intolerance-participant-participantRole-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.147'][@extension='2017-08-01']]/cda:participant[@typeCode='CSM']/cda:participantRole">
+      <sch:assert id="a-3343-28838-error" test="@classCode='MANU'">This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:3343-28838).</sch:assert>
+      <sch:assert id="a-3343-28822-error" test="count(cda:playingEntity)=1">This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:3343-28822).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Allergy-Intolerance-participant-participantRole-playingEntity-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.147'][@extension='2017-08-01']]/cda:participant[@typeCode='CSM']/cda:participantRole[@classCode='MANU']/cda:playingEntity">
+      <sch:assert id="a-3343-28839-error" test="@classCode='MMAT'">This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: HL7EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:3343-28839).</sch:assert>
+      <sch:assert id="a-3343-28840-error" test="count(cda:code)=1">This playingEntity SHALL contain exactly one [1..1] code (CONF:3343-28840).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Substance-Device-Allergy-Intolerance-Observation-pattern-errors">
+    <sch:rule id="Substance-Device-Allergy-Intolerance-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.90'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-16303-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16303).</sch:assert>
+      <sch:assert id="a-1098-16304-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16304).</sch:assert>
+      <sch:assert id="a-1098-16305-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.90'][@extension='2014-06-09']) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-16305) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.90" (CONF:1098-16306).  SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32527).</sch:assert>
+      <sch:assert id="a-1098-16307-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-16307).</sch:assert>
+      <sch:assert id="a-1098-16345-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-16345).</sch:assert>
+      <sch:assert id="a-1098-16308-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-16308).</sch:assert>
+      <sch:assert id="a-1098-16309-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16309).</sch:assert>
+      <sch:assert id="a-1098-16312-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-16312).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Device-Allergy-Intolerance-Observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.90'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-16346-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:1098-16346).</sch:assert>
+      <sch:assert id="a-1098-32171-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-32171).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Device-Allergy-Intolerance-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.90'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-26354-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-26354).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Device-Allergy-Intolerance-Observation-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.90'][@extension='2014-06-09']]/cda:effectiveTime">
+      <sch:assert id="a-1098-31536-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-31536).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Device-Allergy-Intolerance-Observation-value-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.90'][@extension='2014-06-09']]/cda:value">
+      <sch:assert id="a-1098-16317-error" test="@code">This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Allergy and Intolerance Type urn:oid:2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:1098-16317).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Problem-Concern-Act-pattern-errors">
+    <sch:rule id="Problem-Concern-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.3'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-9024-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9024).</sch:assert>
+      <sch:assert id="a-1198-9025-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9025).</sch:assert>
+      <sch:assert id="a-1198-16772-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.3'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-16772) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.3" (CONF:1198-16773). SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32509).</sch:assert>
+      <sch:assert id="a-1198-9026-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1198-9026).</sch:assert>
+      <sch:assert id="a-1198-9027-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1198-9027).</sch:assert>
+      <sch:assert id="a-1198-9029-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1198-9029).</sch:assert>
+      <sch:assert id="a-1198-9030-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030).</sch:assert>
+      <sch:assert id="a-1198-9034-error" test="count(cda:entryRelationship[@typeCode='SUBJ'][count(cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01']])=1]) &gt;= 1">SHALL contain at least one [1..*] entryRelationship (CONF:1198-9034) such that it SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15980). SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9035).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Problem-Concern-Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.3'][@extension='2015-08-01']]/cda:code">
+      <sch:assert id="a-1198-19184-error" test="@code='CONC'">This code SHALL contain exactly one [1..1] @code="CONC" Concern (CONF:1198-19184).</sch:assert>
+      <sch:assert id="a-1198-32168-error" test="@codeSystem='2.16.840.1.113883.5.6'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Problem-Concern-Act-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.3'][@extension='2015-08-01']]/cda:statusCode">
+      <sch:assert id="a-1198-31525-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Problem-Concern-Act-effectiveTime-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.3'][@extension='2015-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-1198-9032-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned-Medication-Activity-pattern-errors">
+    <sch:rule id="Planned-Medication-Activity-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.42'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8572-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8572).</sch:assert>
+      <sch:assert id="a-1098-8573-error" test="@moodCode and @moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.24']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (SubstanceAdministration/Supply) urn:oid:2.16.840.1.113883.11.20.9.24 STATIC 2011-09-30 (CONF:1098-8573).</sch:assert>
+      <sch:assert id="a-1098-30465-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.42'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-30465) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.42" (CONF:1098-30466). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32557).</sch:assert>
+      <sch:assert id="a-1098-8575-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-8575).</sch:assert>
+      <sch:assert id="a-1098-32087-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-32087).</sch:assert>
+      <sch:assert id="a-1098-30468-error" test="count(cda:effectiveTime)&gt;=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30468).</sch:assert>
+      <sch:assert id="a-1098-32082-error" test="count(cda:consumable)=1">SHALL contain exactly one [1..1] consumable (CONF:1098-32082).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Medication-Activity-statusCode-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.42'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32088-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32088).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Medication-Activity-consumable-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.42'][@extension='2014-06-09']]/cda:consumable">
+      <sch:assert id="a-1098-32083-error" test="count(cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.23'] [@extension = '2014-06-09']])=1">This consumable SHALL contain exactly one [1..1] Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09) (CONF:1098-32083).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Medication-Activity-precondition-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.42'][@extension='2014-06-09']]/cda:precondition">
+      <sch:assert id="a-1098-32085-error" test="@typeCode='PRCN'">The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" Precondition (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32085).</sch:assert>
+      <sch:assert id="a-1098-32086-error" test="count(cda:criterion[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.25' and @extension = '2014-06-09']])=1">The precondition, if present, SHALL contain exactly one [1..1] Precondition for Substance Administration (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1098-32086).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Activity-Procedure-pattern-errors">
+    <sch:rule id="Procedure-Activity-Procedure-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7652-error" test="@classCode='PROC'">SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7652).</sch:assert>
+      <sch:assert id="a-1098-7653-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7653).</sch:assert>
+      <sch:assert id="a-1098-7654-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-7654) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.14" (CONF:1098-10521). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32506).</sch:assert>
+      <sch:assert id="a-1098-7655-error" test="count(cda:id) &gt;=1">SHALL contain at least one [1..*] id (CONF:1098-7655).</sch:assert>
+      <sch:assert id="a-1098-7656-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-7656).</sch:assert>
+      <sch:assert id="a-1098-7661-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7661).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-code-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:code/cda:originalText/cda:reference[@value]">
+      <sch:assert id="a-1098-19206-error" test="starts-with(@value, '#')">This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-statusCode-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32366-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32366).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-targetSiteCode-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:targetSiteCode">
+      <sch:assert id="a-1098-16082-error" test="@code">The targetSiteCode, if present, SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-16082).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-performer-specimen-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:specimen">
+      <sch:assert id="a-1098-7704-error" test="count(cda:specimenRole)=1">The specimen, if present, SHALL contain exactly one [1..1] specimenRole (CONF:1098-7704).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-performer-assignedEntity-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1098-7722-error" test="count(cda:id)&gt;=1">This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-7722).</sch:assert>
+      <sch:assert id="a-1098-7732-error" test="count(cda:telecom)&gt;=1">This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-7732).</sch:assert>
+      <sch:assert id="a-1098-7731-error" test="count(cda:addr)&gt;=1">This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-7731).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-performer-assignedEntity-representedOrganization-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity/cda:representedOrganization">
+      <sch:assert id="a-1098-7737-error" test="count(cda:telecom)=1">The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-7737).</sch:assert>
+      <sch:assert id="a-1098-7736-error" test="count(cda:addr)=1">The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-7736).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Symptom-Concern-Act-pattern-errors">
+    <sch:rule id="Symptom-Concern-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.138'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28547-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28547).</sch:assert>
+      <sch:assert id="a-3343-28548-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28548).</sch:assert>
+      <sch:assert id="a-3343-28539-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.138'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28539) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.138" (CONF:3343-28544). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28694).</sch:assert>
+      <sch:assert id="a-3343-28540-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-28540).</sch:assert>
+      <sch:assert id="a-3343-28538-error" test="count(cda:entryRelationship[@typeCode='SUBJ'][count(cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.136'][@extension='2017-08-01']])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28538) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28543). SHALL contain exactly one [1..1] Symptom (identifier: urn:oid:2.16.840.1.113883.10.20.24.3.136:2017-08-01) (CONF:3343-28542).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Symptom-Concern-Act-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.138'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-28545-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-28545).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Problem-Status-pattern-errors">
+    <sch:rule id="Problem-Status-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.6']]">
+      <sch:assert id="a-1098-7357-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7357).</sch:assert>
+      <sch:assert id="a-1098-7358-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7358).</sch:assert>
+      <sch:assert id="a-1098-10518-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.6'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-7359) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.6" (CONF:1098-10518).</sch:assert>
+      <sch:assert id="a-1098-19162-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-19162).</sch:assert>
+      <sch:assert id="a-1098-7364-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7364).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Problem-Status-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.6']]/cda:code">
+      <sch:assert id="a-1098-19163-error" test="@code='33999-4'">This code SHALL contain exactly one [1..1] @code="33999-4" Status (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:1098-19163).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Problem-Status-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.6']]/cda:statusCode">
+      <sch:assert id="a-1098-19113-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19113).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned_Encounter-pattern-errors">
+    <sch:rule id="Planned_Encounter-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.40'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8564-error" test="@classCode='ENC'">SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8564).</sch:assert>
+      <sch:assert id="a-1098-8565-error" test="@moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.23']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC 2011-09-30 (CONF:1098-8565).</sch:assert>
+      <sch:assert id="a-1098-30437-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.40'][@extension='2014-06-09']) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-30437) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.40" (CONF:1098-30438). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32553).</sch:assert>
+      <sch:assert id="a-1098-8567-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-8567).</sch:assert>
+      <sch:assert id="a-1098-30439-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-30439).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Encounter-statusCode-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.40'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-31880-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31880).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Status-pattern-errors">
+    <sch:rule id="Status-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.93']]">
+      <sch:assert id="a-67-11879-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:67-11879).</sch:assert>
+      <sch:assert id="a-67-11880-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:67-11880).</sch:assert>
+      <sch:assert id="a-67-11881-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.93'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:67-11881) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.93" (CONF:67-11882).</sch:assert>
+      <sch:assert id="a-67-11885-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:67-11885).</sch:assert>
+      <sch:assert id="a-67-11887-error" test="count(cda:value)=1">SHALL contain exactly one [1..1] value (CONF:67-11887).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Status-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.93']]/cda:code">
+      <sch:assert id="a-67-11886-error" test="@code='33999-4'">This code SHALL contain exactly one [1..1] @code="33999-4" status (CONF:67-11886).</sch:assert>
+      <sch:assert id="a-67-27011-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:67-27011).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Result-Observation-pattern-errors">
+    <sch:rule id="Result-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.2'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-7130-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7130).</sch:assert>
+      <sch:assert id="a-1198-7131-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7131).</sch:assert>
+      <sch:assert id="a-1198-7136-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.2'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-7136) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.2" (CONF:1198-9138). SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32575).</sch:assert>
+      <sch:assert id="a-1198-7137-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:1198-7137).</sch:assert>
+      <sch:assert id="a-1198-7133-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1198-7133).</sch:assert>
+      <sch:assert id="a-1198-7134-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1198-7134).</sch:assert>
+      <sch:assert id="a-1198-7140-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1198-7140).</sch:assert>
+      <sch:assert id="a-1198-7143-error" test="count(cda:value)=1">SHALL contain exactly one [1..1] value (CONF:1198-7143).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Result-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.2'][@extension='2015-08-01']]/cda:statusCode">
+      <sch:assert id="a-1198-14849-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Result Status urn:oid:2.16.840.1.113883.11.20.9.39 STATIC (CONF:1198-14849).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Result-Observation-interpretationCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.2'][@extension='2015-08-01']]/cda:interpretationCode">
+      <sch:assert id="a-1198-32476-error" test="@code">The interpretationCode, if present, SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Observation Interpretation (HL7) urn:oid:2.16.840.1.113883.1.11.78 STATIC (CONF:1198-32476).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Result-Observation-referenceRange-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.2'][@extension='2015-08-01']]/cda:referenceRange">
+      <sch:assert id="a-1198-7151-error" test="count(cda:observationRange)=1">The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:1198-7151).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Result-Observation-referenceRange-observationRange-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.2'][@extension='2015-08-01']]/cda:referenceRange/cda:observationRange">
+      <sch:assert id="a-1198-7152-error" test="count(cda:code)=0">This observationRange SHALL NOT contain [0..0] code (CONF:1198-7152).</sch:assert>
+      <sch:assert id="a-1198-32175-error" test="count(cda:value)=1">This observationRange SHALL contain exactly one [1..1] value (CONF:1198-32175).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Instruction-pattern-errors">
+    <sch:rule id="Instruction-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.20'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7391-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7391).</sch:assert>
+      <sch:assert id="a-1098-7392-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7392).</sch:assert>
+      <sch:assert id="a-1098-7393-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.20'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-7393) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.20" (CONF:1098-10503). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32598).</sch:assert>
+      <sch:assert id="a-1098-16884-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Patient Education urn:oid:2.16.840.1.113883.11.20.9.34 DYNAMIC (CONF:1098-16884).</sch:assert>
+      <sch:assert id="a-1098-7396-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7396).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Instruction-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.20'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-19106-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19106).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Reason-pattern-errors">
+    <sch:rule id="Reason-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.88'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-11357-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-11357).</sch:assert>
+      <sch:assert id="a-3343-11358-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11358).</sch:assert>
+      <sch:assert id="a-3343-11359-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.88'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11359) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.88" (CONF:3343-11360). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27027).</sch:assert>
+      <sch:assert id="a-3343-11361-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-11361).</sch:assert>
+      <sch:assert id="a-3343-11367-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-11367).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Reason-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.88'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-11362-error" test="@code='77301-0'">This code SHALL contain exactly one [1..1] @code="77301-0" Reason care action performed or not (CONF:3343-11362).</sch:assert>
+      <sch:assert id="a-3343-27028-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3343-27028).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Reason-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.88'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-27551-error" test="count(cda:low)=1">The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:3343-27551).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Drug-Vehicle-pattern-errors">
+    <sch:rule id="Drug-Vehicle-errors" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.24']]">
+      <sch:assert id="a-81-7490-error" test="@classCode='MANU'">SHALL contain exactly one [1..1] @classCode="MANU" (CodeSystem: RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:81-7490).</sch:assert>
+      <sch:assert id="a-81-7495-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.24'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:817495) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.24" (CONF:81-10493).</sch:assert>
+      <sch:assert id="a-81-19137-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:81-19137).</sch:assert>
+      <sch:assert id="a-81-7492-error" test="count(cda:playingEntity)=1">SHALL contain exactly one [1..1] playingEntity (CONF:81-7492).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Drug-Vehicle-code-errors" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.24']]/cda:code">
+      <sch:assert id="a-81-30818-error" test="@code='412307009'">This code SHALL contain exactly one [1..1] @code="412307009" Drug Vehicle (CONF:81-19138).</sch:assert>
+      <sch:assert id="a-81-26502-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:81-26502).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Drug-Vehicle-playingEntity-errors" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.24']]/cda:playingEntity">
+      <sch:assert id="a-81-7493-error" test="count(cda:code)=1">This playingEntity SHALL contain exactly one [1..1] code (CONF:81-7493).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Laboratory_Test_Order-pattern-errors">
+    <sch:rule id="Laboratory_Test_Order-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.37'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27417-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27417).</sch:assert>
+      <sch:assert id="a-3343-11953-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11953).</sch:assert>
+      <sch:assert id="a-3343-11954-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.37'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-11954) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.37" (CONF:3343-11955). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27075).</sch:assert>
+      <sch:assert id="a-3343-11957-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-11957).</sch:assert>
+      <sch:assert id="a-3343-27344-error" test="count(cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1])=1">SHALL contain exactly one [1..1] author (CONF:3343-27344) such that it SHALL contain exactly one [1..1] time (CONF:3343-29089).  SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29088).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Laboratory_Test_Order-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.37'][@extension='2017-08-01']]/cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1]/cda:assignedAuthor">
+      <sch:assert id="a-3343-29090-error" test="count(cda:id) &gt;= 1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29090).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Intervention_Recommended-pattern-errors">
+    <sch:rule id="Intervention_Recommended-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.33'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27355-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27355).</sch:assert>
+      <sch:assert id="a-3343-13763-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-13763).</sch:assert>
+      <sch:assert id="a-3343-13764-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.33'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-13764) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.33" (CONF:3343-13765). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-26557).</sch:assert>
+      <sch:assert id="a-3343-13767-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-13767).</sch:assert>
+      <sch:assert id="a-3343-27349-error" test="count(cda:author) = 1">SHALL contain exactly one [1..1] author (CONF:3343-27349).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Intervention_Recommended-author-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.33'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29020-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29020).</sch:assert>
+      <sch:assert id="a-3343-29019-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29019).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Intervention_Recommended-author-assignedAuthor-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.33'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29021-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29021).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Prognosis-Observation-pattern-errors">
+    <sch:rule id="Prognosis-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.113']]">
+      <sch:assert id="a-1098-29035-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-29035).</sch:assert>
+      <sch:assert id="a-1098-29036-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-29036).</sch:assert>
+      <sch:assert id="a-1098-29037-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.113'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-29037) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.113" (CONF:1098-29038).</sch:assert>
+      <sch:assert id="a-1098-29439-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] value (CONF:1098-29439).</sch:assert>
+      <sch:assert id="a-1098-31350-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-31350).</sch:assert>
+      <sch:assert id="a-1098-31123-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31123).</sch:assert>
+      <sch:assert id="a-1098-29469-error" test="count(cda:value)=1">SHALL contain exactly one [1..1] value (CONF:1098-29469).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Prognosis-Observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.113']]/cda:code">
+      <sch:assert id="a-1098-29468-error" test="@code='75328-5'">This code SHALL contain exactly one [1..1] @code="75328-5" Prognosis (CONF:1098-29468).</sch:assert>
+      <sch:assert id="a-1098-31349-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-31349).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Prognosis-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.113']]/cda:statusCode">
+      <sch:assert id="a-1098-31351-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31351).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Care-Goal-pattern-errors">
+    <sch:rule id="Care-Goal-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.1'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-11245-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-11245).</sch:assert>
+      <sch:assert id="a-3343-11246-error" test="@moodCode='GOL'">SHALL contain exactly one [1..1] @moodCode="GOL" goal (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11246).</sch:assert>
+      <sch:assert id="a-3343-28040-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28040).</sch:assert>
+      <sch:assert id="a-3343-11247-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.1'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11247) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.1" (CONF:3343-11248). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27067).</sch:assert>
+      <sch:assert id="a-3343-27576-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-27576).</sch:assert>
+      <sch:assert id="a-3343-11255-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-11255).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Care-Goal-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.1'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-27557-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-27557).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Immunization_administered-pattern-errors">
+    <sch:rule id="Immunization_administered-errors" context="cda:substanceAdministration [cda:templateId[@root='2.16.840.1.113883.10.20.24.3.140'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28588-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" Substance Administration (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28588).</sch:assert>
+      <sch:assert id="a-3343-28589-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28589).</sch:assert>
+      <sch:assert id="a-3343-28574-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.140'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28574) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.140" (CONF:3343-28581). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28958).</sch:assert>
+      <sch:assert id="a-3343-28576-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-28576).</sch:assert>
+      <sch:assert id="a-3343-28578-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-28578).</sch:assert>
+      <sch:assert id="a-3343-28957-error" test="count(cda:consumable)=1">SHALL contain exactly one [1..1] consumable (CONF:3343-28957).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_administered-statusCode-errors" context="cda:substanceAdministration [cda:templateId[@root='2.16.840.1.113883.10.20.24.3.140'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-28585-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-28585).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_administered-effectiveTime-errors" context="cda:substanceAdministration [cda:templateId[@root='2.16.840.1.113883.10.20.24.3.140'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-28959-error" test="@value">This effectiveTime SHALL contain exactly one [1..1] @value (CONF:3343-28959).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_administered-consumable-errors" context="cda:substanceAdministration [cda:templateId[@root='2.16.840.1.113883.10.20.24.3.140'][@extension='2017-08-01']]/cda:consumable">
+      <sch:assert id="a-3343-28960-error" test="count(cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.54'][@extension='2014-06-09']])=1">This consumable SHALL contain exactly one [1..1] Immunization Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:3343-28960).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Activity-Observation-pattern-errors">
+    <sch:rule id="Procedure-Activity-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8282-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8282).</sch:assert>
+      <sch:assert id="a-1098-8237-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8237).</sch:assert>
+      <sch:assert id="a-1098-8238-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-8238) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.13" (CONF:1098-10520). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32507).</sch:assert>
+      <sch:assert id="a-1098-8239-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-8239).</sch:assert>
+      <sch:assert id="a-1098-19197-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-19197).</sch:assert>
+      <sch:assert id="a-1098-8245-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-8245).</sch:assert>
+      <sch:assert id="a-1098-16846-error" test="count(cda:value)=1">SHALL contain exactly one [1..1] value (CONF:1098-16846).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:code/cda:originalText/cda:reference[@value]">
+      <sch:assert id="a-1098-19201-error" test="starts-with(@value, '#')">This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19201).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32365-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32365).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-performer-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:performer">
+      <sch:assert id="a-1098-8252-error" test="count(cda:assignedEntity)=1">The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8252).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-performer-assignedEntity-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1098-8253-error" test="count(cda:id)&gt;=1">This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8253).</sch:assert>
+      <sch:assert id="a-1098-8254-error" test="count(cda:addr)&gt;=1">This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8254).</sch:assert>
+      <sch:assert id="a-1098-8255-error" test="count(cda:telecom)&gt;=1">This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8255).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-performer-assignedEntity-representedOrganization-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity/cda:representedOrganization">
+      <sch:assert id="a-1098-8259-error" test="count(cda:addr)&gt;=1">The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-8259).</sch:assert>
+      <sch:assert id="a-1098-8260-error" test="count(cda:telecom)&gt;=1">The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-8260).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Dispense_V2-pattern-errors">
+    <sch:rule id="Medication_Dispense_V2-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.18'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7451-error" test="@classCode='SPLY'">SHALL contain exactly one [1..1] @classCode="SPLY" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7451).</sch:assert>
+      <sch:assert id="a-1098-7452-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7452).</sch:assert>
+      <sch:assert id="a-1098-7453-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.18'][@extension='2014-06-09']) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-7453) such that it
+					SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.18" (CONF:1098-10505).
+					SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32580).</sch:assert>
+      <sch:assert id="a-1098-7454-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-7454).</sch:assert>
+      <sch:assert id="a-1098-7455-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7455).</sch:assert>
+      <sch:assert id="a-1098-9333-error" test="(cda:product[count(cda:manufacturedProduct)=1]) and (count(cda:product[cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.23'][@extension='2014-06-09']] or cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.54'][@extension='2014-06-09']]]) = 1)">A supply act SHALL contain one product/Medication Information OR one product/Immunization Medication Information template (CONF:1098-9333).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispense_V2-statuscode-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.18'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32361-error" test="@code=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.3.88.12.80.64']/voc:code/@value">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Medication Fill Status urn:oid:2.16.840.1.113883.3.88.12.80.64 STATIC 2014-04-23 (CONF:1098-32361).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispense_V2-may-performer-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.18'][@extension='2014-06-09']]/cda:performer">
+      <sch:assert id="a-1098-7461-error" test="count(cda:assignedEntity) = 1">The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-7467).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="US-Realm-Person-Name-pattern-errors">
+    <sch:rule id="US-Realm-Person-Name-name-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:recordTarget/cda:patientRole/cda:patient/cda:name             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.3']]/cda:recordTarget/cda:patientRole/cda:patient/cda:name             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:guardianPerson/cda:name             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:author/cda:assignedAuthor/cda:assignedPerson/cda:name             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:dataEnterer/cda:assignedEntity/cda:assignedPerson/cda:name             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient/cda:name             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:legalAuthenticator/cda:assignedEntity/cda:assignedPerson/cda:name">
+      <sch:assert id="a-81-9371-error" test="(cda:given and cda:family) or (count(../cda:name/*)=0 and string-length(../cda:name/text()[normalize-space()])!=0)">The content of name SHALL be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371).</sch:assert>
+      <sch:assert id="a-81-9372-error" test="(cda:given and cda:family) or (count(../cda:name/*)=0)">The string SHALL NOT contain name parts (CONF:81-9372).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Problem-Observation-pattern-errors">
+    <sch:rule id="Problem-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-9041-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9041).</sch:assert>
+      <sch:assert id="a-1198-9042-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042).</sch:assert>
+      <sch:assert id="a-1198-14926-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-14926) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.4" (CONF:1198-14927). SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32508).</sch:assert>
+      <sch:assert id="a-1198-9043-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1198-9043).</sch:assert>
+      <sch:assert id="a-1198-9045-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2012-06-01 (CONF:1198-9045).</sch:assert>
+      <sch:assert id="a-1198-9049-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1198-9049).</sch:assert>
+      <sch:assert id="a-1198-9050-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050).</sch:assert>
+      <sch:assert id="a-1198-9058-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1198-9058).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Problem-Observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01']]/cda:code">
+      <sch:assert id="a-1198-32848-error" test="count(cda:translation) &gt;= 1">This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 2014-09-02 (CONF:1198-32848).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Problem-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01']]/cda:statusCode">
+      <sch:assert id="a-1198-19112-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Problem-Observation-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-1198-15603-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Immunization_order-pattern-errors">
+    <sch:rule id="Immunization_order-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.143'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28645-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28645).</sch:assert>
+      <sch:assert id="a-3343-28644-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28644).</sch:assert>
+      <sch:assert id="a-3343-28627-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.143'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28627) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.143" (CONF:3343-28634). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28923).</sch:assert>
+      <sch:assert id="a-3343-28924-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-28924).</sch:assert>
+      <sch:assert id="a-3343-28646-error" test="count(cda:author)=1">SHALL contain exactly one [1..1] author (CONF:3343-28646).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_order-effectiveTime-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.143'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-28925-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-28925).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_order-author-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.143'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29029-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29029).</sch:assert>
+      <sch:assert id="a-3343-29028-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29028).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_order-author-assignedAuthor-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.143'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29030-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29030).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="US-Realm-Date-and-Time-pattern-errors">
+    <sch:rule id="US-Realm-Date-and-Time-effectiveTime-errors" context="cda:effectiveTime[parent::cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]]              | cda:effectiveTime[parent::cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.3']]]             | cda:effectiveTime[parent::cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.27.1.1'][@extension='2016-09-01']]]">
+      <sch:assert id="a-81-10127-e-error" test="string-length(@value)&gt;=8">SHALL be precise to the day (CONF:81-10127).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US-Realm-Date-and-Time-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:author/cda:time                                                             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:legalAuthenticator/cda:time">
+      <sch:assert id="a-81-10127-t-error" test="string-length(@value)&gt;=8">SHALL be precise to the day (CONF:81-10127).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Order-Act-pattern-errors">
+    <sch:rule id="Encounter-Order-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.132'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28469-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28469).</sch:assert>
+      <sch:assert id="a-3343-28470-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28470).</sch:assert>
+      <sch:assert id="a-3343-28467-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.132'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28467) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.132" (CONF:3343-28471). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28812).</sch:assert>
+      <sch:assert id="a-3343-28810-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28810).</sch:assert>
+      <sch:assert id="a-3343-28468-error" test="count(cda:entryRelationship[@typeCode='SUBJ'][count(cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.22'][@extension='2017-08-01']])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28468) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28473).  SHALL contain exactly one [1..1] Encounter Order (V4) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.22:2017-08-01) (CONF:3343-28474).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Order-Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.132'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28811-error" test="@code='ENC'">This code SHALL contain exactly one [1..1] @code="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28811).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="US-Realm-Patient-Name-pattern-errors">
+    <sch:rule id="US-Realm-Patient-Name-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.123']]/cda:participant/cda:participantRole/cda:playingEntity/cda:name">
+      <sch:assert id="a-81-7159-error" test="count(cda:family[@xsi:type='ST'])=1">SHALL contain exactly one [1..1] family (CONF:81-7159).</sch:assert>
+      <sch:assert id="a-81-7157-error" test="count(cda:given[@xsi:type='ST']) &gt;=1">SHALL contain at least one [1..*] given (CONF:81-7157).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Diagnostic-Study-Performed-pattern-errors">
+    <sch:rule id="Diagnostic-Study-Performed-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.18'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27369-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27369).</sch:assert>
+      <sch:assert id="a-3343-12950-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12950).</sch:assert>
+      <sch:assert id="a-3343-12951-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.18'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-12951) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.18" (CONF:3343-12952). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27141).</sch:assert>
+      <sch:assert id="a-3343-27617-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-27617).</sch:assert>
+      <sch:assert id="a-3343-12956-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-12956).</sch:assert>
+      <sch:assert id="a-3343-12958-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-12958).</sch:assert>
+      <sch:assert id="a-3343-29135-error" test="count(cda:value)=1">SHALL contain exactly one [1..1] value (CONF:3343-29135).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Diagnostic-Study-Performed-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.18'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-12957-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-12957).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Diagnostic-Study-Performed-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.18'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-12959-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-12959).</sch:assert>
+      <sch:assert id="a-3343-12960-error" test="count(cda:high)=1">This effectiveTime SHALL contain exactly one [1..1] high (CONF:3343-12960).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Diagnostic-Study-Performed-value-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.18'][@extension='2017-08-01']]/cda:value">
+      <sch:assert id="a-3343-29139-error" test="@nullFlavor='NA'">This value SHALL contain exactly one [1..1] @nullFlavor="NA" (CONF:3343-29139).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Substance-Administered-Act-pattern-errors">
+    <sch:rule id="Substance-Administered-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.118']]">
+      <sch:assert id="a-1098-31500-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31500).</sch:assert>
+      <sch:assert id="a-1098-31501-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31501).</sch:assert>
+      <sch:assert id="a-1098-31502-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.118'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-31502) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.118" (CONF:1098-31503).</sch:assert>
+      <sch:assert id="a-1098-31504-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:1098-31504).</sch:assert>
+      <sch:assert id="a-1098-31506-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-31506).</sch:assert>
+      <sch:assert id="a-1098-31505-error" test="count(cda:statusCode[@code='completed'])=1">SHALL contain exactly one [1..1] statusCode="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31505).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Substance-Administered-Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.118']]/cda:code">
+      <sch:assert id="a-1098-31507-error" test="@code='416118004'">This code SHALL contain exactly one [1..1] @code="416118004" Administration (CONF:1098-31507).</sch:assert>
+      <sch:assert id="a-1098-31508-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-31508).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Active-pattern-errors">
+    <sch:rule id="Medication_Active-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.41'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28861-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28861).</sch:assert>
+      <sch:assert id="a-3343-28079-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28079).</sch:assert>
+      <sch:assert id="a-3343-28858-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.41'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-28858) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.41" (CONF:3343-28860). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28654).</sch:assert>
+      <sch:assert id="a-3343-28859-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:3343-28859).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Active-statusCode-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.41'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-28655-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-28655).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Family_History_Organizer_QDM-pattern-errors">
+    <sch:rule id="Family_History_Organizer_QDM-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.12'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-14175-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.12'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-14175) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.12" (CONF:3343-14176). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-26553).</sch:assert>
+      <sch:assert id="a-3343-27715-error" test="(count(cda:component[count(cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.112'][@extension='2017-08-01']]) = 1]) &gt; 0)">SHALL contain at least one [1..*] component (CONF:3343-27715) such that it SHALL contain exactly one [1..1] Family History Observation QDM (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.112:2017-08-01) (CONF:3343-27716).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Patient_data_section_QDM-pattern-errors">
+    <sch:rule id="Patient_data_section_QDM-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.24.2.1'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-12796-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.2.1'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-12796) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.2.1" (CONF:3343-12797). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28405).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Activity-Act-pattern-errors">
+    <sch:rule id="Procedure-Activity-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8289-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8289).</sch:assert>
+      <sch:assert id="a-1098-8290-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8290).</sch:assert>
+      <sch:assert id="a-1098-8291-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-8291) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.12" (CONF:1098-10519). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32505).</sch:assert>
+      <sch:assert id="a-1098-8292-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-8292).</sch:assert>
+      <sch:assert id="a-1098-8293-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-8293).</sch:assert>
+      <sch:assert id="a-1098-8298-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-8298).</sch:assert>
+      <sch:assert id="a-1098-8299-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1098-8299).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Act-code-originalText-reference-value-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]/cda:code/cda:originalText/cda:reference[@value]">
+      <sch:assert id="a-1098-19189-error" test="starts-with(@value, '#')">This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Act-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32364-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32364).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Act-performer-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]/cda:performer">
+      <sch:assert id="a-1098-8302-error" test="count(cda:assignedEntity)=1">The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8302).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Act-performer-assignedEntity-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1098-8303-error" test="count(cda:id)&gt;=1">This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8303).</sch:assert>
+      <sch:assert id="a-1098-8304-error" test="count(cda:addr)&gt;=1">This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8304).</sch:assert>
+      <sch:assert id="a-1098-8305-error" test="count(cda:telecom)&gt;=1">This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8305).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Act-performer-assignedEntity-representedOrganization-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity/cda:representedOrganization">
+      <sch:assert id="a-1098-8309-error" test="count(cda:addr)&gt;=1">The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:1098-8309).</sch:assert>
+      <sch:assert id="a-1098-8310-error" test="count(cda:telecom)&gt;=1">The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1098-8310).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Activity-pattern-errors">
+    <sch:rule id="Encounter-Activity-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-8710-error" test="@classCode='ENC'">SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8710).</sch:assert>
+      <sch:assert id="a-1198-8711-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8711).</sch:assert>
+      <sch:assert id="a-1198-8712-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-8712) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.49" (CONF:1198-26353). SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32546).</sch:assert>
+      <sch:assert id="a-1198-8713-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:1198-8713).</sch:assert>
+      <sch:assert id="a-1198-8714-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1198-8714).</sch:assert>
+      <sch:assert id="a-1198-8715-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8715).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Activity-code-originalText-reference-value-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01']]/cda:code/cda:originalText/cda:reference">
+      <sch:assert id="a-1198-15972-error" test="starts-with(@value,'#')">This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1198-15972).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Activity-performer-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01']]/cda:performer">
+      <sch:assert id="a-1198-8726-error" test="count(cda:assignedEntity)=1">The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8726).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Family_History_Observation_QDM-pattern-errors">
+    <sch:rule id="Family_History_Observation_QDM-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.112'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27685-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27685).</sch:assert>
+      <sch:assert id="a-3343-27686-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-27686).</sch:assert>
+      <sch:assert id="a-3343-28057-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28057).</sch:assert>
+      <sch:assert id="a-3343-27675-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.112'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-27675) such that it  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.112" (CONF:3343-27681). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27682).</sch:assert>
+      <sch:assert id="a-3343-27688-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-27688).</sch:assert>
+      <sch:assert id="a-3343-28661-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.12'][@extension='2017-08-01'])=1">This template SHALL be contained by a Family History Organizer QDM (V4) (CONF:3343-28661).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Reaction-Observation-pattern-errors">
+    <sch:rule id="Reaction-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.9'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7325-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7325).</sch:assert>
+      <sch:assert id="a-1098-7326-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7326).</sch:assert>
+      <sch:assert id="a-1098-7323-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.9'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-7323) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.9" (CONF:1098-10523). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32504).</sch:assert>
+      <sch:assert id="a-1098-7329-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-7329).</sch:assert>
+      <sch:assert id="a-1098-16851-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-16851).</sch:assert>
+      <sch:assert id="a-1098-7328-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7328).</sch:assert>
+      <sch:assert id="a-1098-7335-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1098-7335).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Reaction-Observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.9'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-31124-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" (CONF:1098-31124).</sch:assert>
+      <sch:assert id="a-1098-32169-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-32169).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Reaction-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.9'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-19114-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19114).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Intervention_Performed-pattern-errors">
+    <sch:rule id="Intervention_Performed-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.32'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27354-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27354).</sch:assert>
+      <sch:assert id="a-3343-13590-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-13590).</sch:assert>
+      <sch:assert id="a-3343-13591-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.32'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-13591) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.32" (CONF:3343-13592). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27144).</sch:assert>
+      <sch:assert id="a-3343-27633-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-27633).</sch:assert>
+      <sch:assert id="a-3343-27362-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-27362).</sch:assert>
+      <sch:assert id="a-3343-13611-error" test="count(cda:effectiveTime) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-13611).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Intervention_Performed-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.32'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-27363-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-27363).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Intervention_Performed-effectiveTime-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.32'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-13612-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-13612).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Supply_Request-pattern-errors">
+    <sch:rule id="Medication_Supply_Request-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.99'][@extension='2014-04-05']]">
+      <sch:assert id="a-1140-28373-error" test="@classCode='SPLY'">SHALL contain exactly one [1..1] @classCode="SPLY" Supply (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1140-28373).</sch:assert>
+      <sch:assert id="a-1140-13820-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1140-13820).</sch:assert>
+      <sch:assert id="a-1140-13821-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.99'][@extension='2014-04-05']) = 1">SHALL contain exactly one [1..1] templateId (CONF:1140-13821) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.99" (CONF:1140-13822). SHALL contain exactly one [1..1] @extension="2014-04-05" (CONF:1140-28374).</sch:assert>
+      <sch:assert id="a-1140-13829-error" test="count(cda:effectiveTime) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:1140-13829).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Diagnostic-Study-Order-pattern-errors">
+    <sch:rule id="Diagnostic-Study-Order-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.17'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27408-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27408).</sch:assert>
+      <sch:assert id="a-3343-13411-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-13411).</sch:assert>
+      <sch:assert id="a-3343-13412-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.17'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-13412) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.17" (CONF:3343-13413). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27069).</sch:assert>
+      <sch:assert id="a-3343-27615-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-27615).</sch:assert>
+      <sch:assert id="a-3343-27340-error" test="count(cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1]) = 1">SHALL contain exactly one [1..1] author (CONF:3343-27340) such that it  SHALL contain exactly one [1..1] time (CONF:3343-29041).  . SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29040).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Diagnostic-Study-Order-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.17'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29042-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29042).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Device-Recommended-pattern-errors">
+    <sch:rule id="Device-Recommended-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.10'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27722-error" test="@classCode='SPLY'">SHALL contain exactly one [1..1] @classCode="SPLY" Supply (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27722).</sch:assert>
+      <sch:assert id="a-3343-12368-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent, which SHALL be selected from CodeSystem ActMood (urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12368).</sch:assert>
+      <sch:assert id="a-3343-12369-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.10'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-12369) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.10" (CONF:3343-12370). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27094).</sch:assert>
+      <sch:assert id="a-3343-27719-error" test="count(cda:author)=1">SHALL contain exactly one [1..1] author (CONF:3343-27719).</sch:assert>
+      <sch:assert id="a-3343-12374-error" test="count(cda:participant[@typeCode='DEV'][count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-12374) such that it SHALL contain exactly one [1..1] @typeCode="DEV" device, which SHALL be selected from CodeSystem HL7ParticipationType (urn:oid:2.16.840.1.113883.5.90) (CONF:3343-12375).SHALL contain exactly one [1..1] participantRole (CONF:3343-12376).</sch:assert>
+      <sch:assert id="a-3343-28666-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.131'][@extension='2017-08-01'])=1">This template SHALL be contained by a Device Recommended Act (V2) (CONF:3343-28666).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Recommended-author-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.10'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29062-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29062).</sch:assert>
+      <sch:assert id="a-3343-29061-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29061).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Recommended-author-assignedAuthor-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.10'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29063-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29063).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Recommended-participant-participantRole-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.10'][@extension='2017-08-01']]/cda:participant[@typeCode='DEV']/cda:participantRole">
+      <sch:assert id="a-3343-12377-error" test="@classCode='MANU'">This participantRole SHALL contain exactly one [1..1] @classCode="MANU" manufactured product, which SHALL be selected from CodeSystem HL7RoleClass (urn:oid:2.16.840.1.113883.5.110) (CONF:3343-12377).</sch:assert>
+      <sch:assert id="a-3343-12378-error" test="count(cda:playingDevice)=1">This participantRole SHALL contain exactly one [1..1] playingDevice (CONF:3343-12378).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Recommended-participant-participantRole-playingDevice-errors" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.10'][@extension='2017-08-01']]/cda:participant[@typeCode='DEV']/cda:participantRole[@classCode='MANU']/cda:playingDevice">
+      <sch:assert id="a-3343-12379-error" test="@classCode='DEV'">This playingDevice SHALL contain exactly one [1..1] @classCode="DEV" device, which SHALL be selected from CodeSystem HL7ParticipationType (urn:oid:2.16.840.1.113883.5.90) (CONF:3343-12379).</sch:assert>
+      <sch:assert id="a-3343-12380-error" test="count(cda:code)=1">This playingDevice SHALL contain exactly one [1..1] code (CONF:3343-12380).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Target-Outcome-pattern-errors">
+    <sch:rule id="Target-Outcome-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.119'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28033-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28033).</sch:assert>
+      <sch:assert id="a-3343-28034-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28034).</sch:assert>
+      <sch:assert id="a-3343-28025-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.119'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28025) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.119" (CONF:3343-28028). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28029).</sch:assert>
+      <sch:assert id="a-3343-28026-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:3343-28026).</sch:assert>
+      <sch:assert id="a-3343-28027-error" test="count(cda:value)=1">SHALL contain exactly one [1..1] value (CONF:3343-28027).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Assessment_performed-pattern-errors">
+    <sch:rule id="Assessment_performed-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.144'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28670-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28670).</sch:assert>
+      <sch:assert id="a-3343-28669-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28669).</sch:assert>
+      <sch:assert id="a-3343-28652-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.144'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28652) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.144" (CONF:3343-28660) SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28701).</sch:assert>
+      <sch:assert id="a-3343-28656-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28656).</sch:assert>
+      <sch:assert id="a-3343-28653-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-28653).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Assessment_performed-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.144'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-28662-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-28662).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Assessment_performed-author-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.144'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-28986-error" test="count(cda:time)=1">The author, if present, SHALL contain exactly one [1..1] time (CONF:3343-28986).</sch:assert>
+      <sch:assert id="a-3343-28985-error" test="count(cda:assignedAuthor)=1">The author, if present, SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-28985).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Assessment_performed-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.144'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-28987-error" test="count(cda:id) &gt; 0">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-28987).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Adverse_Event-pattern-errors">
+    <sch:rule id="Adverse_Event-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28773-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28773).</sch:assert>
+      <sch:assert id="a-3343-28774-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28774).</sch:assert>
+      <sch:assert id="a-3343-28776-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28776).</sch:assert>
+      <sch:assert id="a-3343-28751-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28751) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.146" (CONF:3343-28761). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28762).</sch:assert>
+      <sch:assert id="a-3343-28775-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:3343-28775).</sch:assert>
+      <sch:assert id="a-3343-28752-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28752).</sch:assert>
+      <sch:assert id="a-3343-28753-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-28753).</sch:assert>
+      <sch:assert id="a-3343-28754-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-28754).</sch:assert>
+      <sch:assert id="a-3343-28756-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-28756).</sch:assert>
+      <sch:assert id="a-3343-28755-error" test="count(cda:entryRelationship[@typeCode='CAUS'][@inversionInd='true'][count(cda:observation/cda:templateId[@root='2.16.840.1.113883.10.20.24.3.148'][@extension='2017-08-01'])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28755) such that it SHALL contain exactly one [1..1] @typeCode="CAUS" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28768). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:3343-28769). SHALL contain exactly one [1..1] Adverse Event Cause Observation Assertion (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.148:2017-08-01) (CONF:3343-28770).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Adverse_Event-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28763-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:3343-28763).</sch:assert>
+      <sch:assert id="a-3343-28764-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:3343-28764).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Adverse_Event-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-28765-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-28765).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Adverse_Event-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-28766-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-28766).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Adverse_Event-value-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]/cda:value">
+      <sch:assert id="a-3343-28771-error" test="@code='281647001'">This value SHALL contain exactly one [1..1] @code="281647001" Adverse reaction (CONF:3343-28771).</sch:assert>
+      <sch:assert id="a-3343-28772-error" test="@codeSystem='2.16.840.1.113883.6.96'">This value SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" SNOMED CT (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:3343-28772).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Adverse_Event-author-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-28983-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-28983).</sch:assert>
+      <sch:assert id="a-3343-28982-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-28982).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Adverse_Event-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-28984-error" test="count(cda:id) &gt; 0">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-28984).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Immunization_activity-pattern-errors">
+    <sch:rule id="Immunization_activity-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.52'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8826-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8826).</sch:assert>
+      <sch:assert id="a-1098-8827-error" test="@moodCode and @moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.18']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2014-09-01 (CONF:1098-8827).</sch:assert>
+      <sch:assert id="a-1098-8828-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.52'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-8828) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.52" (CONF:1098-10498). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32528).</sch:assert>
+      <sch:assert id="a-1098-8829-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-8829).</sch:assert>
+      <sch:assert id="a-1098-8833-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-8833).</sch:assert>
+      <sch:assert id="a-1098-8834-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1098-8834).</sch:assert>
+      <sch:assert id="a-1098-8847-error" test="count(cda:consumable)=1">SHALL contain exactly one [1..1] consumable (CONF:1098-8847).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_activity-statusCode-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.52'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32359-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.159331 DYNAMIC (CONF:1098-32359).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_activity-consumable-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.52'][@extension='2014-06-09']]/cda:consumable">
+      <sch:assert id="a-1098-15546-error" test="count(cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.54'][@extension='2014-06-09']])=1">This consumable SHALL contain exactly one [1..1] Immunization Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1098-15546).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Performed-Act-pattern-errors">
+    <sch:rule id="Encounter-Performed-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.133'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28477-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28477).</sch:assert>
+      <sch:assert id="a-3343-28478-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28478).</sch:assert>
+      <sch:assert id="a-3343-28475-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.133'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28475) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.133" (CONF:3343-28479). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28809).</sch:assert>
+      <sch:assert id="a-3343-28807-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28807).</sch:assert>
+      <sch:assert id="a-3343-28476-error" test="count(cda:entryRelationship[@typeCode='SUBJ'][count(cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.23'][@extension='2017-08-01']])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28476) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28481). SHALL contain exactly one [1..1] Encounter Performed (V4) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.23:2017-08-01) (CONF:3343-28482).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Performed-Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.133'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28808-error" test="@code='ENC'">This code SHALL contain exactly one [1..1] @code="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28808).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Dispensed_Act-pattern-errors">
+    <sch:rule id="Medication_Dispensed_Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.139'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28562-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28562).</sch:assert>
+      <sch:assert id="a-3343-28563-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28563).</sch:assert>
+      <sch:assert id="a-3343-28558-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.139'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-28558) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.139" (CONF:3343-28560). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28907).</sch:assert>
+      <sch:assert id="a-3343-28564-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:3343-28564).</sch:assert>
+      <sch:assert id="a-3343-28567-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-28567).</sch:assert>
+      <sch:assert id="a-3343-28557-error" test="count(cda:entryRelationship[@typeCode='SUBJ'][count(cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.45'][@extension='2017-08-01']])=1]) = 1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28557) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28561). SHALL contain exactly one [1..1] Medication Dispensed (V4) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.45:2017-08-01) (CONF:3343-28566).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispensed_Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.139'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28568-error" test="@code='SPLY'">This code SHALL contain exactly one [1..1] @code="SPLY" supply (CONF:3343-28568).</sch:assert>
+      <sch:assert id="a-3343-28569-error" test="@codeSystem='2.16.840.1.113883.5.6'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28569).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Deceased-Observation-pattern-errors">
+    <sch:rule id="Deceased-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.79'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-14851-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14851).</sch:assert>
+      <sch:assert id="a-1198-14852-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14852).</sch:assert>
+      <sch:assert id="a-1198-14871-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.79'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-14871) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.79" (CONF:1198-14872) SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32541).</sch:assert>
+      <sch:assert id="a-1198-14873-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:1198-14873).</sch:assert>
+      <sch:assert id="a-1198-14854-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1198-14854).</sch:assert>
+      <sch:assert id="a-1198-14853-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1198-14853).</sch:assert>
+      <sch:assert id="a-1198-14855-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14855).</sch:assert>
+      <sch:assert id="a-1198-14857-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1198-14857).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Deceased-Observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.79'][@extension='2015-08-01']]/cda:code">
+      <sch:assert id="a-1198-19135-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:1198-19135).</sch:assert>
+      <sch:assert id="a-1198-32158-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1198-32158).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Deceased-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.79'][@extension='2015-08-01']]/cda:statusCode">
+      <sch:assert id="a-1198-19095-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19095).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Deceased-Observation-value-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.79'][@extension='2015-08-01']]/cda:value">
+      <sch:assert id="a-1198-15142-error" test="@code='419099009'">This value SHALL contain exactly one [1..1] @code="419099009" Dead (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96 STATIC) (CONF:1198-15142).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Deceased-Observation-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.79'][@extension='2015-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-1198-14874-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-14874).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned_Act-pattern-errors">
+    <sch:rule id="Planned_Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.39'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8538-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8538).</sch:assert>
+      <sch:assert id="a-1098-8539-error" test="@moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.23']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC 2011-09-30 (CONF:1098-8539).</sch:assert>
+      <sch:assert id="a-1098-30430-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.39'][@extension='2014-06-09']) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-30430) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.39" (CONF:1098-30431). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32552).</sch:assert>
+      <sch:assert id="a-1098-8546-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-8546).</sch:assert>
+      <sch:assert id="a-1098-31687-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:1098-31687).</sch:assert>
+      <sch:assert id="a-1098-30432-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-30432).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Act-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.39'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32019-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32019).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="QDM_based_QRDA_V5-pattern-errors">
+    <sch:rule id="QDM_based_QRDA_V5-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-12972-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-12972) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.1.2" (CONF:3343-26943). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28696).</sch:assert>
+      <sch:assert id="a-3343-16598-error" test="count(cda:recordTarget)=1">SHALL contain exactly one [1..1] recordTarget (CONF:3343-16598).</sch:assert>
+      <sch:assert id="a-3343-16600-error" test="count(cda:custodian)=1">SHALL contain exactly one [1..1] custodian (CONF:3343-16600).</sch:assert>
+      <sch:assert id="a-3343-12973-error" test="count(cda:component[count(cda:structuredBody)=1])=1">SHALL contain exactly one [1..1] component (CONF:3343-12973) such that it SHALL contain exactly one [1..1] structuredBody (CONF:3343-17081).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-recordTarget-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:recordTarget">
+      <sch:assert id="a-3343-16856-error" test="count(cda:patientRole)=1">This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:3343-16856).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-recordTarget-patientRole-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:recordTarget/cda:patientRole">
+      <sch:assert id="a-3343-27570-error" test="count(cda:patient)=1">This patientRole SHALL contain exactly one [1..1] patient (CONF:3343-27570).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-recordTarget-patientRole-patient-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:recordTarget/cda:patientRole/cda:patient">
+      <sch:assert id="a-3343-27571-error" test="count(cda:birthTime)=1">This patient SHALL contain exactly one [1..1] birthTime (CONF:3343-27571).</sch:assert>
+      <sch:assert id="a-3343-27572-error" test="count(cda:administrativeGenderCode)=1">This patient SHALL contain exactly one [1..1] administrativeGenderCode (CONF:3343-27572).</sch:assert>
+      <sch:assert id="a-3343-27573-error" test="count(cda:raceCode)=1">This patient SHALL contain exactly one [1..1] raceCode (CONF:3343-27573).</sch:assert>
+      <sch:assert id="a-3343-27574-error" test="count(cda:ethnicGroupCode)=1">This patient SHALL contain exactly one [1..1] ethnicGroupCode (CONF:3343-27574).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-custodian-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:custodian">
+      <sch:assert id="a-3343-28239-error" test="count(cda:assignedCustodian)=1">This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:3343-28239).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-custodian-assignedCustodian-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:custodian/cda:assignedCustodian">
+      <sch:assert id="a-3343-28240-error" test="count(cda:representedCustodianOrganization)=1">This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:3343-28240).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-informationRecipient-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:informationRecipient">
+      <sch:assert id="a-3343-16704-error" test="count(cda:intendedRecipient)=1">The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:3343-16704).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-informationRecipient-intendedRecipient-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:informationRecipient/cda:intendedRecipient">
+      <sch:assert id="a-3343-16705-error" test="count(cda:id) &gt; 0">This intendedRecipient SHALL contain at least one [1..*] id (CONF:3343-16705).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-component-structuredBody-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:component/cda:structuredBody">
+      <sch:assert id="a-3343-17082-error" test="count(cda:component[count(cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.24.2.3']])=1])=1">This structuredBody SHALL contain exactly one [1..1] component (CONF:3343-17082). This component SHALL contain exactly one [1..1] Measure Section QDM (identifier: urn:oid:2.16.840.1.113883.10.20.24.2.3) (CONF:3343-17083).</sch:assert>
+      <sch:assert id="a-3343-17090-error" test="count(cda:component[count(cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.17.2.1']])=1])=1">This structuredBody SHALL contain exactly one [1..1] component (CONF:3343-17090). This component SHALL contain exactly one [1..1] Reporting Parameters Section (identifier: urn:oid:2.16.840.1.113883.10.20.17.2.1) (CONF:3343-17092).</sch:assert>
+      <sch:assert id="a-3343-17091-error" test="count(cda:component[count(cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.24.2.1'][@extension='2017-08-01']])=1])=1">This structuredBody SHALL contain exactly one [1..1] component (CONF:3343-17091). This component SHALL contain exactly one [1..1] Patient Data Section QDM (V5) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.2.1:2017-08-01) (CONF:3343-17093).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-documentationOf-serviceEvent-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:documentationOf/cda:serviceEvent">
+      <sch:assert id="a-3343-16581-error" test="@classCode='PCPR'">This serviceEvent SHALL contain exactly one [1..1] @classCode="PCPR" Care Provision (CONF:3343-16581).</sch:assert>
+      <sch:assert id="a-3343-16583-error" test="count(cda:performer) &gt; 0">This serviceEvent SHALL contain at least one [1..*] performer (CONF:3343-16583).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-documentationOf-serviceEvent-performer-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:documentationOf/cda:serviceEvent/cda:performer">
+      <sch:assert id="a-3343-16584-error" test="@typeCode='PRF'">Such performers SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CONF:3343-16584).</sch:assert>
+      <sch:assert id="a-3343-16586-error" test="count(cda:assignedEntity)=1">Such performers SHALL contain exactly one [1..1] assignedEntity (CONF:3343-16586).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QDM_based_QRDA_V5-documentationOf-serviceEvent-performer-assignedEntity-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:documentationOf/cda:serviceEvent/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-3343-16591-error" test="count(cda:representedOrganization)=1">This assignedEntity SHALL contain exactly one [1..1] representedOrganization (CONF:3343-16591).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Immunization_refusal_reason-pattern-errors">
+    <sch:rule id="Immunization_refusal_reason-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.53']]">
+      <sch:assert id="a-81-8991-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8991).</sch:assert>
+      <sch:assert id="a-81-8992-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-8992).</sch:assert>
+      <sch:assert id="a-81-8993-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.53'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:81-8993) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.53" (CONF:81-10500).</sch:assert>
+      <sch:assert id="a-81-8994-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:81-8994).</sch:assert>
+      <sch:assert id="a-81-8995-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet No Immunization Reason Value Set urn:oid:2.16.840.1.113883.1.11.19717 DYNAMIC (CONF:81-8995).</sch:assert>
+      <sch:assert id="a-81-8996-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:81-8996).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_refusal_reason-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.53']]/cda:statusCode">
+      <sch:assert id="a-81-19104-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:81-19104).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Symptom-pattern-errors">
+    <sch:rule id="Symptom-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.136'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28524-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28524).</sch:assert>
+      <sch:assert id="a-3343-28525-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28525).</sch:assert>
+      <sch:assert id="a-3343-28526-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28526).</sch:assert>
+      <sch:assert id="a-3343-28514-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.136'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28514) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.136" (CONF:3343-28518). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28855).</sch:assert>
+      <sch:assert id="a-3343-28515-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28515).</sch:assert>
+      <sch:assert id="a-3343-28854-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-28854).</sch:assert>
+      <sch:assert id="a-3343-28516-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-28516).</sch:assert>
+      <sch:assert id="a-3343-28667-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.138'][@extension='2017-08-01'])=1">This template SHALL be contained by a Symptom Concern Act (V3) (CONF:3343-28667).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Symptom-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.136'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28520-error" test="@code='75325-1'">This code SHALL contain exactly one [1..1] @code="75325-1" Symptom (CONF:3343-28520).</sch:assert>
+      <sch:assert id="a-3343-28521-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3343-28521).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Symptom-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.136'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-28856-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-28856).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Measure_Reference-pattern-errors">
+    <sch:rule id="Measure_Reference-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.98']]">
+      <sch:assert id="a-67-12979-error" test="@classCode='CLUSTER'">SHALL contain exactly one [1..1] @classCode="CLUSTER" cluster (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:67-12979).</sch:assert>
+      <sch:assert id="a-67-12980-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:67-12980).</sch:assert>
+      <sch:assert id="a-67-19532-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.98'][not(@extension)]) = 1">SHALL contain exactly one [1..1] templateId (CONF:67-19532) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.98" (CONF:67-19533).</sch:assert>
+      <sch:assert id="a-67-26992-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:67-26992).</sch:assert>
+      <sch:assert id="a-67-12981-error" test="count(cda:statusCode[@code='completed'])=1">SHALL contain exactly one [1..1] statusCode="completed" completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:67-12981).</sch:assert>
+      <sch:assert id="a-67-12982-error" test="count(cda:reference[@typeCode='REFR'][count(cda:externalDocument)=1])=1">SHALL contain exactly one [1..1] reference (CONF:67-12982) such that it SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:67-12983). SHALL contain exactly one [1..1] externalDocument (CONF:67-12984).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Measure_Reference-externalDocument-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.98']]/cda:reference/cda:externalDocument">
+      <sch:assert id="a-67-19534-error" test="@classCode='DOC'">This externalDocument SHALL contain exactly one [1..1] @classCode="DOC" Document (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:67-19534).</sch:assert>
+      <sch:assert id="a-67-12985-error" test="count(cda:id[@root]) &gt; 0">This externalDocument SHALL contain at least one [1..*] id (CONF:67-12985) such that it SHALL contain exactly one [1..1] @root (CONF:67-12986). This ID references an ID of the Quality Measure (CONF:67-27008).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="QRDA_Category_I-pattern-errors">
+    <sch:rule id="QRDA_Category_I_V3-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.1'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-12910-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.1.1'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-12910) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.1.1" (CONF:3343-14613). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27005)</sch:assert>
+      <sch:assert id="a-3343-12911-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-12911).</sch:assert>
+      <sch:assert id="a-3343-12912-error" test="count(cda:title)=1">SHALL contain exactly one [1..1] title (CONF:3343-12912).</sch:assert>
+      <sch:assert id="a-3343-12913-error" test="count(cda:recordTarget)=1">SHALL contain exactly one [1..1] recordTarget (CONF:3343-12913).</sch:assert>
+      <sch:assert id="a-3343-12914-error" test="count(cda:custodian)=1">SHALL contain exactly one [1..1] custodian (CONF:3343-12914).</sch:assert>
+      <sch:assert id="a-3343-12918-error" test="count(cda:component)=1">SHALL contain exactly one [1..1] component (CONF:3343-12918).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QRDA_Category_I_V3-code-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.1'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28137-error" test="@code='55182-0'">This code SHALL contain exactly one [1..1] @code="55182-0" Quality Measure Report (CONF:3343-28137).</sch:assert>
+      <sch:assert id="a-3343-28138-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3343-28138).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QRDA_Category_I_V3-recordTarget-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.1'][@extension='2017-08-01']]/cda:recordTarget">
+      <sch:assert id="a-3343-28387-error" test="count(cda:patientRole)=1">This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:3343-28387).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QRDA_Category_I_V3-custodian-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.1'][@extension='2017-08-01']]/cda:custodian">
+      <sch:assert id="a-3343-12915-error" test="count(cda:assignedCustodian)=1">This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:3343-12915).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QRDA_Category_I_V3-custodian-assignedCustodian-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.1'][@extension='2017-08-01']]/cda:custodian/cda:assignedCustodian">
+      <sch:assert id="a-3343-12916-error" test="count(cda:representedCustodianOrganization)=1">This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:3343-12916).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QRDA_Category_I_V3-component-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.1'][@extension='2017-08-01']]/cda:component">
+      <sch:assert id="a-3343-12919-error" test="count(cda:structuredBody)=1">This component SHALL contain exactly one [1..1] structuredBody (CONF:3343-12919).</sch:assert>
+    </sch:rule>
+    <sch:rule id="QRDA_Category_I_V3-component-structuredBody-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.1'][@extension='2017-08-01']]/cda:component/cda:structuredBody">
+      <sch:assert id="a-3343-12920-error" test="count(cda:component[count(cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.24.2.2']])=1])=1">This structuredBody SHALL contain exactly one [1..1] component (CONF:3343-12920) such that it SHALL contain exactly one [1..1] Measure Section (identifier: urn:oid:2.16.840.1.113883.10.20.24.2.2) (CONF:3343-17078).</sch:assert>
+      <sch:assert id="a-3343-12923-error" test="count(cda:component[count(cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.17.2.1']])=1])=1">This structuredBody SHALL contain exactly one [1..1] component (CONF:3343-12923) such that it SHALL contain exactly one [1..1] Reporting Parameters Section (identifier: urn:oid:2.16.840.1.113883.10.20.17.2.1) (CONF:3343-17079).</sch:assert>
+      <sch:assert id="a-3343-12924-error" test="count(cda:component[count(cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.17.2.4']])=1])=1">This structuredBody SHALL contain exactly one [1..1] component (CONF:3343-12924) such that it SHALL contain exactly one [1..1] Patient Data Section (identifier: urn:oid:2.16.840.1.113883.10.20.17.2.4) (CONF:3343-17080).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Device-Order-Act-pattern-errors">
+    <sch:rule id="Device-Order-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.130'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28444-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28444).</sch:assert>
+      <sch:assert id="a-3343-28445-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-28445).</sch:assert>
+      <sch:assert id="a-3343-28441-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.130'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28441) such that it  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.130" (CONF:3343-28447).  SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28918).</sch:assert>
+      <sch:assert id="a-3343-28442-error" test="count(cda:code) =1">SHALL contain exactly one [1..1] code (CONF:3343-28442).</sch:assert>
+      <sch:assert id="a-3343-28443-error" test="count(cda:entryRelationship[@typeCode='SUBJ'] [count(cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.9' and @extension = '2017-08-01']])=1])=1">SHALL contain exactly one [1..1] entryRelationship (CONF:3343-28443) such that it SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28450). SHALL contain exactly one [1..1] Device Order (V4) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.9:2017-08-01) (CONF:3343-28451).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Device-Order-Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.130'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28448-error" test="@code='SPLY'">This code SHALL contain exactly one [1..1] @code="SPLY" Supply (CONF:3343-28448).</sch:assert>
+      <sch:assert id="a-3343-28449-error" test="@codeSystem">This code SHALL contain exactly one [1..1] @codeSystem (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28449).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Communication-From-Patient-To-Provider-pattern-errors">
+    <sch:rule id="Communication-From-Patient-To-Provider-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.2'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-11484-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-11484).</sch:assert>
+      <sch:assert id="a-3343-11485-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11485).</sch:assert>
+      <sch:assert id="a-3343-11486-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.2'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11486) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.2" (CONF:3343-11487). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27275).</sch:assert>
+      <sch:assert id="a-3343-11619-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:3343-11619).</sch:assert>
+      <sch:assert id="a-3343-26946-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-26946).</sch:assert>
+      <sch:assert id="a-3343-11620-error" test="count(cda:statusCode[@code='completed'])=1">SHALL contain exactly one [1..1] statusCode="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-11620).</sch:assert>
+      <sch:assert id="a-3343-28919-error" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.155'][@extension='2017-08-01']]) = 1">SHALL contain exactly one [1..1] Author (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.155:2017-08-01) (CONF:3343-28919).</sch:assert>
+      <sch:assert id="a-3343-11835-error" test="count(cda:participant[@typeCode='AUT'][count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-11835) such that it SHALL contain exactly one [1..1] @typeCode="AUT" author (originator) (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:3343-12099). SHALL contain exactly one [1..1] participantRole (CONF:3343-11836).</sch:assert>
+      <sch:assert id="a-3343-11631-error" test="count(cda:participant[@typeCode='IRCP'] [count(cda:participantRole)=1])=1">SHALL contain exactly one [1..1] participant (CONF:3343-11631) such that it SHALL contain exactly one [1..1] @typeCode="IRCP" information recipient (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:3343-11632). SHALL contain exactly one [1..1] participantRole (CONF:3343-11633).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Patient-To-Provider-participant-participantRole-recipient-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.2'][@extension='2017-08-01']]/cda:participant[@typeCode='IRCP']/cda:participantRole">
+      <sch:assert id="a-3343-12098-error" test="@classCode='ASSIGNED'">This participantRole SHALL contain exactly one [1..1] @classCode="ASSIGNED" assigned entity (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:3343-12098).</sch:assert>
+      <sch:assert id="a-3343-11651-error" test="count(cda:code)=1">This participantRole SHALL contain exactly one [1..1] code (CONF:3343-11651).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Patient-To-Provider-participant-participantRole-recipient-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.2'][@extension='2017-08-01']]/cda:participant[@typeCode='IRCP']/cda:participantRole/cda:code">
+      <sch:assert id="a-3343-27272-error" test="@code='158965000'">This code SHALL contain exactly one [1..1] @code="158965000" Medical practitioner (CONF:3343-27272).</sch:assert>
+      <sch:assert id="a-3343-26945-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:3343-26945).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Communication-From-Patient-To-Provider-participant-participantRole-author-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.2'][@extension='2017-08-01']]/cda:participant[@typeCode='AUT']/cda:participantRole">
+      <sch:assert id="a-3343-12100-error" test="@classCode='PAT'">This participantRole SHALL contain exactly one [1..1] @classCode="PAT" patient (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:3343-12100).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="US-Realm-Address-pattern-errors">
+    <sch:rule id="US-Realm-Address-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:recordTarget/cda:patientRole/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.3']]/cda:recordTarget/cda:patientRole/cda:addr             | cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.18']]/cda:performer/cda:assignedEntity/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:author/cda:assignedAuthor/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:dataEnterer/cda:assignedEntity/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:legalAuthenticator/cda:assignedEntity/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:addr">
+      <sch:assert id="a-81-7292-error" test="count(cda:city)=1">SHALL contain exactly one [1..1] city (CONF:81-7292).</sch:assert>
+      <sch:assert id="a-81-7291-error" test="count(cda:streetAddressLine) &gt; 0 and count(cda:streetAddressLine) &lt; 5">SHALL contain at least one and not more than 4 [1..4] streetAddressLine (CONF:81-7291).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Reporting-parameters-section-pattern-errors">
+    <sch:rule id="Reporting-parameters-section-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.17.2.1']]">
+      <sch:assert id="a-23-14611-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.17.2.1'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:23-14611) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.17.2.1" (CONF:23-14612).</sch:assert>
+      <sch:assert id="a-23-18191-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:23-18191).</sch:assert>
+      <sch:assert id="a-23-4142-error" test="count(cda:title[translate(text(), 'ABCDEFGHIJKLMNOPQRSTUVWXYZ', 'abcdefghijklmnopqrstuvwxyz')='reporting parameters'])=1">SHALL contain exactly one [1..1] title="Reporting Parameters" (CONF:23-4142).</sch:assert>
+      <sch:assert id="a-23-4143-error" test="count(cda:text)=1">SHALL contain exactly one [1..1] text (CONF:23-4143).</sch:assert>
+      <sch:assert id="a-23-3277-error" test="count(cda:entry[@typeCode='DRIV'][count(cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.17.3.8']])=1])=1">SHALL contain exactly one [1..1] entry (CONF:23-3277) such that it SHALL contain exactly one [1..1] @typeCode="DRIV" Is derived from (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:23-3278). SHALL contain exactly one [1..1] Reporting Parameters Act (identifier: urn:oid:2.16.840.1.113883.10.20.17.3.8) (CONF:23-17496).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Reporting-parameters-section-code-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.17.2.1']]/cda:code">
+      <sch:assert id="a-23-19229-error" test="@code='55187-9'">This code SHALL contain exactly one [1..1] @code="55187-9" Reporting Parameters (CONF:23-19229).</sch:assert>
+      <sch:assert id="a-23-26552-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:23-26552).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Goal_Observation-pattern-errors">
+    <sch:rule id="Goal_Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.121']]">
+      <sch:assert id="a-1098-30418-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-30418).</sch:assert>
+      <sch:assert id="a-1098-30419-error" test="@moodCode='GOL'">SHALL contain exactly one [1..1] @moodCode="GOL" Goal (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30419).</sch:assert>
+      <sch:assert id="a-1098-8583-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.121'][not(@extension)]) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-8583) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.121" (CONF:1098-10512).</sch:assert>
+      <sch:assert id="a-1098-32332-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-32332).</sch:assert>
+      <sch:assert id="a-1098-30784-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-30784).</sch:assert>
+      <sch:assert id="a-1098-32333-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-32333).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Goal_Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.121']]/cda:statusCode">
+      <sch:assert id="a-1098-32334-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32334).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Goal_Observation-may-reference-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.121']]/cda:reference">
+      <sch:assert id="a-1098-32755-error" test="@typeCode='REFR'">The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32755).</sch:assert>
+      <sch:assert id="a-1098-32756-error" test="count(cda:externalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.115'][@extension='2014-06-09']])=1">The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32756).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned_Coverage-pattern-errors">
+    <sch:rule id="Planned_Coverage-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.129']]">
+      <sch:assert id="a-1098-31945-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" act (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31945).</sch:assert>
+      <sch:assert id="a-1098-31946-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31946).</sch:assert>
+      <sch:assert id="a-1098-31947-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.129'][not(@extension)]) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-31947) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.129" (CONF:1098-31948).</sch:assert>
+      <sch:assert id="a-1098-31950-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-31950).</sch:assert>
+      <sch:assert id="a-1098-31951-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:1098-31951).</sch:assert>
+      <sch:assert id="a-1098-31954-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-31954).</sch:assert>
+      <sch:assert id="a-1098-31967-error" test="count(cda:entryRelationship[@typeCode='COMP'][count(cda:act)=1]) = 1">SHALL contain exactly one [1..1] entryRelationship (CONF:1098-31967) such that it SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31968). SHALL contain exactly one [1..1] act (CONF:1098-31969).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Coverage-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.129']]/cda:code">
+      <sch:assert id="a-1098-31952-error" test="@code='48768-6'">This code SHALL contain exactly one [1..1] @code="48768-6" Payment Sources (CONF:1098-31952).</sch:assert>
+      <sch:assert id="a-1098-31953-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-31953).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Coverage-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.129']]/cda:statusCode">
+      <sch:assert id="a-1098-31955-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31955).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Coverage-act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.129']]/cda:entryRelationship/cda:act">
+      <sch:assert id="a-1098-31970-error" test="@classCode='ACT'">This act SHALL contain exactly one [1..1] @classCode="ACT" ACT (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31970).</sch:assert>
+      <sch:assert id="a-1098-31971-error" test="@moodCode='INT'">This act SHALL contain exactly one [1..1] @moodCode="INT" intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31971).</sch:assert>
+      <sch:assert id="a-1098-31972-error" test="count(cda:id) &gt; 0">This act SHALL contain at least one [1..*] id (CONF:1098-31972).</sch:assert>
+      <sch:assert id="a-1098-31973-error" test="count(cda:code) = 1">This act SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:1098-31973).</sch:assert>
+      <sch:assert id="a-1098-31974-error" test="count(cda:statusCode) = 1">This act SHALL contain exactly one [1..1] statusCode (CONF:1098-31974).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Coverage-act-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.129']]/cda:entryRelationship/cda:act/cda:statusCode">
+      <sch:assert id="a-1098-31975-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31975).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="External-Document-Reference-pattern-errors">
+    <sch:rule id="External-Document-Reference-errors" context="cda:externalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.115'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-31931-error" test="@classCode='DOCCLIN'">encounter</sch:assert>
+      <sch:assert id="a-1098-31932-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31932).</sch:assert>
+      <sch:assert id="a-1098-32748-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.115'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-32748) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.115" (CONF:1098-32750).SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32749).</sch:assert>
+      <sch:assert id="a-1098-32751-error" test="count(cda:id)=1">SHALL contain exactly one [1..1] id (CONF:1098-32751).</sch:assert>
+      <sch:assert id="a-1098-31933-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-31933).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Physical_Exam_Performed-pattern-errors">
+    <sch:rule id="Physical_Exam_Performed-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.59'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27559-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27559).</sch:assert>
+      <sch:assert id="a-3343-12643-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12643).</sch:assert>
+      <sch:assert id="a-3343-12644-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.59'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-12644) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.59" (CONF:3343-12645). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27135).</sch:assert>
+      <sch:assert id="a-3343-27651-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-27651).</sch:assert>
+      <sch:assert id="a-3343-12649-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:3343-12649).</sch:assert>
+      <sch:assert id="a-3343-12651-error" test="count(cda:effectiveTime) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-12651).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Physical_Exam_Performed-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.59'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-12652-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-12652).</sch:assert>
+      <sch:assert id="a-3343-12653-error" test="count(cda:high)=1">This effectiveTime SHALL contain exactly one [1..1] high (CONF:3343-12653).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Physical_Exam_Performed-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.59'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-12650-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-12650).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Recommended-pattern-errors">
+    <sch:rule id="Encounter-Recommended-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.24'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27549-error" test="@classCode='ENC'">SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27549).</sch:assert>
+      <sch:assert id="a-3343-11911-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11911).</sch:assert>
+      <sch:assert id="a-3343-11912-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.24'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11912) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.24" (CONF:3343-11913).  SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27066).</sch:assert>
+      <sch:assert id="a-3343-11915-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-11915).</sch:assert>
+      <sch:assert id="a-3343-27347-error" test="count(cda:author)=1">SHALL contain exactly one [1..1] author (CONF:3343-27347).</sch:assert>
+      <sch:assert id="a-3343-28813-error" test="count(../../cda:templateId[@root='2.16.840.1.113883.10.20.24.3.134'][@extension='2017-08-01'])=1">This template SHALL be contained by an Encounter Recommended Act (V2) (CONF:3343-28813).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Recommended-author-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.24'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29026-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29026).</sch:assert>
+      <sch:assert id="a-3343-29025-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29025).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Recommended-author-assignedAuthor-errors" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.24'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29027-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29027).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Patient_care_experience-pattern-errors">
+    <sch:rule id="Patient_care_experience-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.48'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-12464-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" observation, which SHALL be selected from CodeSystem HL7ActClass (urn:oid:2.16.840.1.113883.5.6) (CONF:3343-12464).</sch:assert>
+      <sch:assert id="a-3343-12465-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" event, which SHALL be selected from CodeSystem ActMood (urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-12465).</sch:assert>
+      <sch:assert id="a-3343-28085-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28085)</sch:assert>
+      <sch:assert id="a-3343-12466-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.48'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-12466) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.48" (CONF:3343-12467). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27290).</sch:assert>
+      <sch:assert id="a-3343-12469-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:3343-12469).</sch:assert>
+      <sch:assert id="a-3343-12470-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-12470).</sch:assert>
+      <sch:assert id="a-3343-12471-error" test="count(cda:statusCode[@code='completed']) = 1">SHALL contain exactly one [1..1] statusCode="completed", which SHALL be selected from CodeSystem ActStatus (urn:oid:2.16.840.1.113883.5.14) (CONF:3343-12471).</sch:assert>
+      <sch:assert id="a-3343-13038-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-13038).</sch:assert>
+      <sch:assert id="a-3343-28932-error" test="count(cda:author) = 1">SHALL contain exactly one [1..1] author (CONF:3343-28932).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_care_experience-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.48'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-13037-error" test="@code='77218-6'">This code SHALL contain exactly one [1..1] @code="77218-6" Patient satisfaction with healthcare delivery (CONF:3343-13037).</sch:assert>
+      <sch:assert id="a-3343-27555-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3343-27555).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_care_experience-author-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.48'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29014-error" test="count(cda:time) = 1">This author SHALL contain exactly one [1..1] time (CONF:3343-29014).</sch:assert>
+      <sch:assert id="a-3343-29013-error" test="count(cda:assignedAuthor) = 1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29013)</sch:assert>
+    </sch:rule>
+    <sch:rule id="Patient_care_experience-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.48'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29015-error" test="count(cda:id) &gt;= 1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29015).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Laboratory_Test_Recommended-pattern-errors">
+    <sch:rule id="Laboratory_Test_Recommended-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.39'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27416-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27416).</sch:assert>
+      <sch:assert id="a-3343-11793-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11793).</sch:assert>
+      <sch:assert id="a-3343-11794-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.39'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-11794) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.39" (CONF:3343-11795).  SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27077).</sch:assert>
+      <sch:assert id="a-3343-27639-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-27639).</sch:assert>
+      <sch:assert id="a-3343-27350-error" test="count(cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1]) = 1">SHALL contain exactly one [1..1] author (CONF:3343-27350) such that it SHALL contain exactly one [1..1] time (CONF:3343-29047). SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29046).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Laboratory_Test_Recommended-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.39'][@extension='2017-08-01']]/cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1]/cda:assignedAuthor">
+      <sch:assert id="a-3343-29048-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29048).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Principal-Diagnosis-pattern-errors">
+    <sch:rule id="Principal-Diagnosis-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.152'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-29004-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CONF:3343-29004).</sch:assert>
+      <sch:assert id="a-3343-29005-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-29005).</sch:assert>
+      <sch:assert id="a-3343-29006-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-29006).</sch:assert>
+      <sch:assert id="a-3343-28998-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.152'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28998) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.152" (CONF:3343-29001). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-29002).</sch:assert>
+      <sch:assert id="a-3343-28997-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28997).</sch:assert>
+      <sch:assert id="a-3343-29003-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-29003).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Principal-Diagnosis-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.152'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28999-error" test="@code='8319008'">This code SHALL contain exactly one [1..1] @code="8319008" Principal Diagnosis (CONF:3343-28999).</sch:assert>
+      <sch:assert id="a-3343-29000-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:3343-29000).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Entry-Reference-pattern-errors">
+    <sch:rule id="Entry-Reference-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.122']]">
+      <sch:assert id="a-1098-31485-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31485).</sch:assert>
+      <sch:assert id="a-1098-31486-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31486</sch:assert>
+      <sch:assert id="a-1098-31487-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.122'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-31487) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.122" (CONF:1098-31488).</sch:assert>
+      <sch:assert id="a-1098-31489-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:1098-31489).</sch:assert>
+      <sch:assert id="a-1098-31490-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-31490).</sch:assert>
+      <sch:assert id="a-1098-31498-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] code (CONF:1098-31498).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Entry-Reference-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.122']]/cda:code">
+      <sch:assert id="a-1098-31491-error" test="@nullFlavor='NP'">This code SHALL contain exactly one [1..1] @nullFlavor="NP" Not Present (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1098-31491).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Indication-pattern-errors">
+    <sch:rule id="Indication-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.19'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7480-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7480).</sch:assert>
+      <sch:assert id="a-1098-7481-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7481).</sch:assert>
+      <sch:assert id="a-1098-7482-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.19'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-7482) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.19" (CONF:1098-10502). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32570).</sch:assert>
+      <sch:assert id="a-1098-7483-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-7483).</sch:assert>
+      <sch:assert id="a-1098-31229-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Problem Type urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2014-09-02 (CONF:1098-31229).</sch:assert>
+      <sch:assert id="a-1098-7487-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7487).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Indication-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.19'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-19105-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-19105).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Diagnosis-pattern-errors">
+    <sch:rule id="Encounter-Diagnosis-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.80'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-14889-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14889).</sch:assert>
+      <sch:assert id="a-1198-14890-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14890).</sch:assert>
+      <sch:assert id="a-1198-14895-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.80'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-14895) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.80" (CONF:1198-14896). SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32542).</sch:assert>
+      <sch:assert id="a-1198-19182-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1198-19182).</sch:assert>
+      <sch:assert id="a-1198-14892-error" test="count(cda:entryRelationship[@typeCode='SUBJ'][count(cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01']])=1])&gt;0">SHALL contain at least one [1..*] entryRelationship (CONF:1198-14892) such that it  SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-14893). SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-14898).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Diagnosis-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.80'][@extension='2015-08-01']]/cda:code">
+      <sch:assert id="a-1198-19183-error" test="@code='29308-4'">This code SHALL contain exactly one [1..1] @code="29308-4" Diagnosis (CONF:1198-19183).</sch:assert>
+      <sch:assert id="a-1198-32160-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32160).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="US_Realm-pattern-errors">
+    <sch:rule id="US_Realm-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-5252-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-5252) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.1" (CONF:1198-10036). SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32503).</sch:assert>
+      <sch:assert id="a-1198-16791-error" test="count(cda:realmCode[@code='US'])=1">SHALL contain exactly one [1..1] realmCode="US" (CONF:1198-16791)</sch:assert>
+      <sch:assert id="a-1198-5361-error" test="count(cda:typeId)=1">SHALL contain exactly one [1..1] typeId (CONF:1198-5361).</sch:assert>
+      <sch:assert id="a-1198-5363-error" test="count(cda:id)=1">SHALL contain exactly one [1..1] id (CONF:1198-5363).</sch:assert>
+      <sch:assert id="a-1198-5253-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1198-5253).</sch:assert>
+      <sch:assert id="a-1198-5254-error" test="count(cda:title)=1">SHALL contain exactly one [1..1] title (CONF:1198-5254).</sch:assert>
+      <sch:assert id="a-1198-5256-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5256).</sch:assert>
+      <sch:assert id="a-1198-5259-error" test="count(cda:confidentialityCode)=1">SHALL contain exactly one [1..1] confidentialityCode (CONF:1198-5259).</sch:assert>
+      <sch:assert id="a-1198-5372-error" test="count(cda:languageCode)=1">SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:1198-5372).</sch:assert>
+      <sch:assert id="a-1198-5266-error" test="count(cda:recordTarget) &gt; 0">SHALL contain at least one [1..*] recordTarget (CONF:1198-5266).</sch:assert>
+      <sch:assert id="a-1198-5444-error" test="count(cda:author) &gt; 0">SHALL contain at least one [1..*] author (CONF:1198-5444).</sch:assert>
+      <sch:assert id="a-1198-5519-error" test="count(cda:custodian)=1">SHALL contain exactly one [1..1] custodian (CONF:1198-5519).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-typeId-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:typeId">
+      <sch:assert id="a-1198-5250-error" test="@root='2.16.840.1.113883.1.3'">This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:1198-5250).</sch:assert>
+      <sch:assert id="a-1198-5251-error" test="@extension='POCD_HD000040'">This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:1198-5251).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-setId-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:setId">
+      <sch:assert id="a-1198-6380-error" test="count(../cda:versionNumber)=1">If setId is present versionNumber SHALL be present (CONF:1198-6380).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-versionNumber-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:versionNumber">
+      <sch:assert id="a-1198-6387-error" test="count(../cda:setId)=1">If versionNumber is present setId SHALL be present (CONF:1198-6387).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget">
+      <sch:assert id="a-1198-5267-error" test="count(cda:patientRole)=1">Such recordTargets SHALL contain exactly one [1..1] patientRole (CONF:1198-5267).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole">
+      <sch:assert id="a-1198-5268-error" test="count(cda:id) &gt; 0">This patientRole SHALL contain at least one [1..*] id (CONF:1198-5268).</sch:assert>
+      <sch:assert id="a-1198-5271-error" test="count(cda:addr) &gt; 0">This patientRole SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5271).</sch:assert>
+      <sch:assert id="a-1198-5280-error" test="count(cda:telecom) &gt; 0">This patientRole SHALL contain at least one [1..*] telecom (CONF:1198-5280).</sch:assert>
+      <sch:assert id="a-1198-5283-error" test="count(cda:patient)=1">This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-5283).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient">
+      <sch:assert id="a-1198-5284-error" test="count(cda:name)&gt; 0">This patient SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-5284).</sch:assert>
+      <sch:assert id="a-1198-6394-error" test="count(cda:administrativeGenderCode)=1">This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:1198-6394).</sch:assert>
+      <sch:assert id="a-1198-5298-error" test="count(cda:birthTime)=1">This patient SHALL contain exactly one [1..1] birthTime (CONF:1198-5298).</sch:assert>
+      <sch:assert id="a-1198-5322-error" test="count(cda:raceCode)=1">This patient SHALL contain exactly one [1..1] raceCode, which SHALL be selected from ValueSet Race Category Excluding Nulls urn:oid:2.16.840.1.113883.3.2074.1.1.3 DYNAMIC (CONF:1198-5322).</sch:assert>
+      <sch:assert id="a-1198-5323-error" test="count(cda:ethnicGroupCode)=1">This patient SHALL contain exactly one [1..1] ethnicGroupCode, which SHALL be selected from ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837 DYNAMIC (CONF:1198-5323).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-birthTime-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:birthTime">
+      <sch:assert id="a-1198-5299-error" test="string-length(@value) &gt;= 4">SHALL be precise to year (CONF:1198-5299).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-raceCode-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/sdtc:raceCode">
+      <sch:assert id="a-1198-31347-error" test="count(../cda:raceCode)=1">If sdtc:raceCode is present, then the patient SHALL contain [1..1] raceCode (CONF:1198-31347).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-guardian-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:guardian">
+      <sch:assert id="a-1198-5385-error" test="count(cda:guardianPerson)=1">The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:1198-5385).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-guardian-guardianPerson-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:guardianPerson">
+      <sch:assert id="a-1198-5386-error" test="count(cda:name) &gt; 0">This guardianPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-5386).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-birthplace-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:birthplace">
+      <sch:assert id="a-1198-5396-error" test="count(cda:place)=1">The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:1198-5396).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-birthplace-place-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:birthplace/cda:place">
+      <sch:assert id="a-1198-5397-error" test="count(cda:addr)=1">This place SHALL contain exactly one [1..1] addr (CONF:1198-5397).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-languageCommunication-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:languageCommunication">
+      <sch:assert id="a-1198-5407-error" test="count(cda:languageCode)=1">The languageCommunication, if present, SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:1198-5407).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-providerOrganization-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:providerOrganization">
+      <sch:assert id="a-1198-5417-error" test="count(cda:id) &gt; 0">The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:1198-5417).</sch:assert>
+      <sch:assert id="a-1198-5419-error" test="count(cda:name) &gt; 0">The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:1198-5419).</sch:assert>
+      <sch:assert id="a-1198-5420-error" test="count(cda:telecom) &gt; 0">The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1198-5420).</sch:assert>
+      <sch:assert id="a-1198-5422-error" test="count(cda:addr) &gt; 0">The providerOrganization, if present, SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5422).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-author-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:author">
+      <sch:assert id="a-1198-5445-error" test="count(cda:time)=1">Such authors SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5445).</sch:assert>
+      <sch:assert id="a-1198-5448-error" test="count(cda:assignedAuthor)=1">Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:1198-5448).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-author-assignedAuthor-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-1198-5449-error" test="count(cda:id) &gt; 0">This assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-5449).</sch:assert>
+      <sch:assert id="a-1198-5452-error" test="count(cda:addr) &gt; 0">This assignedAuthor SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5452).</sch:assert>
+      <sch:assert id="a-1198-5428-error" test="count(cda:telecom) &gt; 0">This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:1198-5428).</sch:assert>
+      <sch:assert id="a-1198-16790-error" test="count(cda:assignedPerson)=1 or count(cda:assignedAuthoringDevice)=1">There SHALL be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:1198-16790).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-author-assignedAuthor-code-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:author/cda:assignedAuthor/cda:code">
+      <sch:assert id="a-1198-16788-error" test="@code">The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-16788).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-author-assignedAuthor-assignedPerson-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:author/cda:assignedAuthor/cda:assignedPerson">
+      <sch:assert id="a-1198-16789-error" test="count(cda:name) &gt; 0">The assignedPerson, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-16789).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-author-assignedAuthor-assignedAuthoringDevice-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:author/cda:assignedAuthor/cda:assignedAuthoringDevice">
+      <sch:assert id="a-1198-16784-error" test="count(cda:manufacturerModelName)=1">The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:1198-16784).</sch:assert>
+      <sch:assert id="a-1198-16785-error" test="count(cda:softwareName)=1">The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:1198-16785).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-dataEnterer-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:dataEnterer">
+      <sch:assert id="a-1198-5442-error" test="count(cda:assignedEntity)=1">The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-5442).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-dataEnterer-assignedEntity-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:dataEnterer/cda:assignedEntity">
+      <sch:assert id="a-1198-5443-error" test="count(cda:id) &gt; 0">This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5443).</sch:assert>
+      <sch:assert id="a-1198-5460-error" test="count(cda:addr) &gt; 0">This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5460).</sch:assert>
+      <sch:assert id="a-1198-5466-error" test="count(cda:telecom) &gt; 0">This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5466).</sch:assert>
+      <sch:assert id="a-1198-5469-error" test="count(cda:assignedPerson)=1">This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-5469).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-dataEnterer-assignedEntity-assignedPerson-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:dataEnterer/cda:assignedEntity/cda:assignedPerson">
+      <sch:assert id="a-1198-5470-error" test="count(cda:name) &gt; 0">This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-5470).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-custodian-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:custodian">
+      <sch:assert id="a-1198-5520-error" test="count(cda:assignedCustodian)=1">This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-5520).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-custodian-assignedCustodian-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:custodian/cda:assignedCustodian">
+      <sch:assert id="a-1198-5521-error" test="count(cda:representedCustodianOrganization)=1">This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:1198-5521).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-custodian-assignedCustodian-representedCustodianOrganization-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization">
+      <sch:assert id="a-1198-5522-error" test="count(cda:id) &gt; 0">This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-5522).</sch:assert>
+      <sch:assert id="a-1198-5524-error" test="count(cda:name)=1">This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:1198-5524).</sch:assert>
+      <sch:assert id="a-1198-5525-error" test="count(cda:telecom)=1">This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:1198-5525).</sch:assert>
+      <sch:assert id="a-1198-5559-error" test="count(cda:addr)=1">This representedCustodianOrganization SHALL contain exactly one [1..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5559).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-informationRecipient-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:informationRecipient">
+      <sch:assert id="a-1198-5566-error" test="count(cda:intendedRecipient)=1">The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-5566).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-informationRecipient-intendedRecipient-informationRecipient-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient">
+      <sch:assert id="a-1198-5568-error" test="count(cda:name) &gt; 0">The informationRecipient, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-5568).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-informationRecipient-intendedRecipient-receivedOrganization-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:informationRecipient/cda:intendedRecipient/cda:receivedOrganization">
+      <sch:assert id="a-1198-5578-error" test="count(cda:name)=1">The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:1198-5578).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-legalAuthenticator-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:legalAuthenticator">
+      <sch:assert id="a-1198-5580-error" test="count(cda:time)=1">The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5580).</sch:assert>
+      <sch:assert id="a-1198-5583-error" test="count(cda:signatureCode)=1">The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:1198-5583).</sch:assert>
+      <sch:assert id="a-1198-5585-error" test="count(cda:assignedEntity)=1">The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-5585).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-legalAuthenticator-signatureCode-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:legalAuthenticator/cda:signatureCode">
+      <sch:assert id="a-1198-5584-error" test="@code='S'">This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: Participationsignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:1198-5584).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-legalAuthenticator-assignedEntity-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:legalAuthenticator/cda:assignedEntity">
+      <sch:assert id="a-1198-5586-error" test="count(cda:id) &gt; 0">This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5586).</sch:assert>
+      <sch:assert id="a-1198-5589-error" test="count(cda:addr) &gt; 0">This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5589).</sch:assert>
+      <sch:assert id="a-1198-5595-error" test="count(cda:telecom) &gt; 0">This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5595).</sch:assert>
+      <sch:assert id="a-1198-5597-error" test="count(cda:assignedPerson)=1">This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-5597).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-legalAuthenticator-assignedEntity-assignedPerson-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:legalAuthenticator/cda:assignedEntity/cda:assignedPerson">
+      <sch:assert id="a-1198-5598-error" test="count(cda:name) &gt; 0">This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-5598).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-inFulfillmentOf-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:inFulfillmentOf">
+      <sch:assert id="a-1198-9953-error" test="count(cda:order)=1">The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-9953).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-inFulfillmentOf-order-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:inFulfillmentOf/cda:order">
+      <sch:assert id="a-1198-9954-error" test="count(cda:id) &gt; 0">This order SHALL contain at least one [1..*] id (CONF:1198-9954).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf">
+      <sch:assert id="a-1198-14836-error" test="count(cda:serviceEvent)=1">The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-14836).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-serviceEvent-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf/cda:serviceEvent">
+      <sch:assert id="a-1198-14837-error" test="count(cda:effectiveTime)=1">This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14837).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-serviceEvent-effectiveTime-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf/cda:serviceEvent/cda:effectiveTime">
+      <sch:assert id="a-1198-14838-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-14838).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-serviceEvent-performer-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf/cda:serviceEvent/cda:performer">
+      <sch:assert id="a-1198-14840-error" test="@typeCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.1.11.19601']/voc:code/@value">The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:1198-14840).</sch:assert>
+      <sch:assert id="a-1198-14841-error" test="count(cda:assignedEntity)=1">The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-14841).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-serviceEvent-performer-assignedEntity-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf/cda:serviceEvent/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1198-14846-error" test="count(cda:id) &gt; 0">This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-14846).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-componentOf-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:componentOf">
+      <sch:assert id="a-1198-9956-error" test="count(cda:encompassingEncounter)=1">The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-9956).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-componentOf-encompassingEncounter-errors" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:componentOf/cda:encompassingEncounter">
+      <sch:assert id="a-1198-9959-error" test="count(cda:id) &gt; 0">This encompassingEncounter SHALL contain at least one [1..*] id (CONF:1198-9959).</sch:assert>
+      <sch:assert id="a-1198-9958-error" test="count(cda:effectiveTime)=1">This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9958).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned_Immunization_Activity-pattern-errors">
+    <sch:rule id="Planned_Immunization_Activity-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.120']]">
+      <sch:assert id="a-1098-32091-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" (CONF:1098-32091).</sch:assert>
+      <sch:assert id="a-1098-32097-error" test="@moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.24']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (SubstanceAdministration/Supply) urn:oid:2.16.840.1.113883.11.20.9.24 STATIC 2014-09-01 (CONF:1098-32097).</sch:assert>
+      <sch:assert id="a-1098-32098-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.120'][not(@extension)]) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-32098) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.120" (CONF:1098-32099).</sch:assert>
+      <sch:assert id="a-1098-32100-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-32100).</sch:assert>
+      <sch:assert id="a-1098-32101-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-32101).</sch:assert>
+      <sch:assert id="a-1098-32103-error" test="count(cda:effectiveTime) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:1098-32103).</sch:assert>
+      <sch:assert id="a-1098-32131-error" test="count(cda:consumable) = 1">SHALL contain exactly one [1..1] consumable (CONF:1098-32131).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Immunization_Activity-consumable-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.120']]/cda:consumable">
+      <sch:assert id="a-1098-32132-error" test="count(cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.54'][@extension='2014-06-09']]) = 1">This consumable SHALL contain exactly one [1..1] Immunization Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.54:2014-06-09) (CONF:1098-32132).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Immunization_Activity-statusCode-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.120']]/cda:statusCode">
+      <sch:assert id="a-1098-32102-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32102).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Family_History_Observation_V3-pattern-errors">
+    <sch:rule id="Family_History_Observation_V3-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.46'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-8586-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8586).</sch:assert>
+      <sch:assert id="a-1198-8587-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8587).</sch:assert>
+      <sch:assert id="a-1198-8599-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.46'][@extension='2015-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:1198-8599) such that it  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.46" (CONF:1198-10496). SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32605).</sch:assert>
+      <sch:assert id="a-1198-8592-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1198-8592).</sch:assert>
+      <sch:assert id="a-1198-32427-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2012-06-01 (CONF:1198-32427).</sch:assert>
+      <sch:assert id="a-1198-8590-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1198-8590).</sch:assert>
+      <sch:assert id="a-1198-8591-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1198-8591).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Observation_V3-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.46'][@extension='2015-08-01']]/cda:code">
+      <sch:assert id="a-1198-32847-error" test="count(cda:translation) &gt; 0">This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2014-09-02 (CONF:1198-32847).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Observation_V3-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.46'][@extension='2015-08-01']]/cda:statusCode">
+      <sch:assert id="a-1198-19098-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19098).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Free_Text_Sig-pattern-errors">
+    <sch:rule id="Medication_Free_Text_Sig-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147']]">
+      <sch:assert id="a-1198-32770-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-32770).</sch:assert>
+      <sch:assert id="a-1198-32771-error" test="@moodCode and @moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.18']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1198-32771).</sch:assert>
+      <sch:assert id="a-1198-32753-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147'][not(@extension)]) = 1">SHALL contain exactly one [1..1] templateId (CONF:1198-32753) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.147" (CONF:1198-32772).</sch:assert>
+      <sch:assert id="a-1198-32775-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32775).</sch:assert>
+      <sch:assert id="a-1198-32754-error" test="count(cda:text) = 1">SHALL contain exactly one [1..1] text (CONF:1198-32754).</sch:assert>
+      <sch:assert id="a-1198-32776-error" test="count(cda:consumable) = 1">SHALL contain exactly one [1..1] consumable (CONF:1198-32776).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Free_Text_Sig-code-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147']]/cda:code">
+      <sch:assert id="a-1198-32780-error" test="@code='76662-6'">This code SHALL contain exactly one [1..1] @code="76662-6" Instructions Medication (CONF:1198-32780).</sch:assert>
+      <sch:assert id="a-1198-32781-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:1198-32781).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Free_Text_Sig-text-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147']]/cda:text">
+      <sch:assert id="a-1198-32755-error" test="count(cda:reference) = 1">This text SHALL contain exactly one [1..1] reference (CONF:1198-32755).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Free_Text_Sig-reference-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147']]/cda:text/cda:reference">
+      <sch:assert id="a-1198-32774-error" test="starts-with(@value, '#')">This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1198-32774).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Free_Text_Sig-consumable-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147']]/cda:consumable">
+      <sch:assert id="a-1198-32777-error" test="count(cda:manufacturedProduct) = 1">This consumable SHALL contain exactly one [1..1] manufacturedProduct (CONF:1198-32777).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Free_Text_Sig-manufacturedProduct-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147']]/cda:consumable/cda:manufacturedProduct">
+      <sch:assert id="a-1198-32778-error" test="count(cda:manufacturedLabeledDrug) = 1">This manufacturedProduct SHALL contain exactly one [1..1]  (CONF:1198-32778).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Free_Text_Sig-manufacturedLabeledDrug-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147']]/cda:consumable/cda:manufacturedProduct/cda:manufacturedLabeledDrug">
+      <sch:assert id="a-1198-32779-error" test="@nullFlavor='NA'">This manufacturedLabeledDrug SHALL contain exactly one [1..1] @nullFlavor="NA" Not Applicable (CONF:1198-32779).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Activity-pattern-errors">
+    <sch:rule id="Medication_Activity-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7496-error" test="@classCode='SBADM'">SHALL contain exactly one [1..1] @classCode="SBADM" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7496).</sch:assert>
+      <sch:assert id="a-1098-7497-v-error" test="@moodCode and @moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.18']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet MoodCodeEvnInt urn:oid:2.16.840.1.113883.11.20.9.18 STATIC 2011-04-03 (CONF:1098-7497).</sch:assert>
+      <sch:assert id="a-1098-7499-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']) = 1">SHALL contain exactly one [1..1] templateId (CONF:1098-7499) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.16" (CONF:1098-10504). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32498).</sch:assert>
+      <sch:assert id="a-1098-7500-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-7500).</sch:assert>
+      <sch:assert id="a-1098-7507-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-7507).</sch:assert>
+      <sch:assert id="a-1098-7508-error" test="count(cda:effectiveTime[not(@operator='A')]) = 1 and (cda:effectiveTime[@value] or count(cda:effectiveTime[cda:low])=1) and not(cda:effectiveTime[@value] and cda:effectiveTime[cda:low])">SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7508) such that it SHALL contain either a low or a @value but not both (CONF:1098-32890).</sch:assert>
+      <sch:assert id="a-1098-7516-error" test="count(cda:doseQuantity) = 1">SHALL contain exactly one [1..1] doseQuantity (CONF:1098-7516).</sch:assert>
+      <sch:assert id="a-1098-7520-error" test="count(cda:consumable) = 1">SHALL contain exactly one [1..1] consumable (CONF:1098-7520).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Activity-code-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32360-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.159331 DYNAMIC (CONF:1098-32360).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Activity-may-rateQuantity-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']]/cda:rateQuantity">
+      <sch:assert id="a-1098-7525-error" test="@unit">The rateQuantity, if present, SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7525).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Activity-consumable-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']]/cda:consumable">
+      <sch:assert id="a-1098-16085-error" test="count(cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.23'][@extension='2014-06-09']])=1">This consumable SHALL contain exactly one [1..1] Medication Information (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09) (CONF:1098-16085).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Activity-may-errors" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']]/cda:precondition">
+      <sch:assert id="a-1098-31882-error" test="@typeCode='PRCN'">The precondition, if present, SHALL contain exactly one [1..1] @typeCode="PRCN" (CONF:1098-31882).</sch:assert>
+      <sch:assert id="a-1098-31883-error" test="count(cda:criterion[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.25'][@extension='2014-06-09']]) = 1">The precondition, if present, SHALL contain exactly one [1..1] Precondition for Substance Administration (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.25:2014-06-09) (CONF:1098-31883).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned-Observation-pattern-errors">
+    <sch:rule id="Planned-Observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.44'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8581-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8581).</sch:assert>
+      <sch:assert id="a-1098-8582-error" test="@moodCode and @moodCode=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.25']/voc:code/@value">SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Observation) urn:oid:2.16.840.1.113883.11.20.9.25 STATIC 2011-09-30 (CONF:1098-8582).</sch:assert>
+      <sch:assert id="a-1098-30451-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.44'][@extension='2014-06-09'])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-30451) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.44" (CONF:1098-30452). SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32555).</sch:assert>
+      <sch:assert id="a-1098-8584-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-8584).</sch:assert>
+      <sch:assert id="a-1098-30453-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-30453).</sch:assert>
+      <sch:assert id="a-1098-31030-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-31030).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.44'][@extension='2014-06-09']]/cda:statusCode">
+      <sch:assert id="a-1098-32032-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32032).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Measure-section-pattern-errors">
+    <sch:rule id="Measure-section-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.24.2.2']]">
+      <sch:assert id="a-67-12801-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.2.2'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:67-12801) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.2.2" (CONF:67-12802).</sch:assert>
+      <sch:assert id="a-67-12798-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:67-12798).</sch:assert>
+      <sch:assert id="a-67-12799-error" test="count(cda:title[translate(text(), 'ABCDEFGHIJKLMNOPQRSTUVWXYZ', 'abcdefghijklmnopqrstuvwxyz')='measure section'])=1">SHALL contain exactly one [1..1] title="Measure Section" (CONF:67-12799).</sch:assert>
+      <sch:assert id="a-67-12800-error" test="count(cda:text)=1">SHALL contain exactly one [1..1] text (CONF:67-12800).</sch:assert>
+      <sch:assert id="a-67-13003-error" test="count(cda:entry[cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.98']]]) &gt; 0">SHALL contain at least one [1..*] entry (CONF:67-13003) such that it SHALL contain exactly one [1..1] Measure Reference (identifier: urn:oid:2.16.840.1.113883.10.20.24.3.98) (CONF:67-16677).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Measure-section-code-errors" context="cda:section[cda:templateId[@root='2.16.840.1.113883.10.20.24.2.2']]/cda:code">
+      <sch:assert id="a-67-19230-error" test="@code='55186-1'">This code SHALL contain exactly one [1..1] @code="55186-1" Measure Section (CONF:67-19230).</sch:assert>
+      <sch:assert id="a-67-27012-error" test="@codeSystem='2.16.840.1.113883.6.1'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:67-27012).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Component-pattern-errors">
+    <sch:rule id="Component-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.149'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28788-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:3343-28788).</sch:assert>
+      <sch:assert id="a-3343-28789-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:3343-28789).</sch:assert>
+      <sch:assert id="a-3343-28786-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.149'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28786) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.149" (CONF:3343-28793).SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28796).</sch:assert>
+      <sch:assert id="a-3343-28784-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28784).</sch:assert>
+      <sch:assert id="a-3343-28797-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:3343-28797).</sch:assert>
+      <sch:assert id="a-3343-28785-error" test="count(cda:value)=1">SHALL contain exactly one [1..1] value (CONF:3343-28785).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Component-referenceRange-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.149'][@extension='2017-08-01']]/cda:referenceRange">
+      <sch:assert id="a-3343-28795-error" test="count(cda:observationRange)=1">The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:3343-28795).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Component-referenceRange-observationRange-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.149'][@extension='2017-08-01']]/cda:referenceRange/cda:observationRange">
+      <sch:assert id="a-3343-28798-error" test="count(cda:code)=0">This observationRange SHALL NOT contain [0..0] code (CONF:3343-28798).</sch:assert>
+      <sch:assert id="a-3343-28799-error" test="count(cda:value)=1">This observationRange SHALL contain exactly one [1..1] value (CONF:3343-28799).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Admission_Source-pattern-errors">
+    <sch:rule id="Admission_Source-errors" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.151'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-29094-error" test="@classCode='SDLOC'">SHALL contain exactly one [1..1] @classCode="SDLOC" (CodeSystem: HL7RoleCode urn:oid:2.16.840.1.113883.5.111 STATIC) (CONF:3343-29094).</sch:assert>
+      <sch:assert id="a-3343-29091-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.151'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-29091) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.151" (CONF:3343-29093). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-29100).</sch:assert>
+      <sch:assert id="a-3343-29099-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-29099).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Admission_Source-playingEntity-errors" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.151'][@extension='2017-08-01']]/cda:playingEntity">
+      <sch:assert id="a-3343-29097-error" test="@classCode='PLC'">The playingEntity, if present, SHALL contain exactly one [1..1] @classCode="PLC" (CodeSystem: HL7EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:3343-29097).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Drug-Monitoring-Act-pattern-errors">
+    <sch:rule id="Drug-Monitoring-Act-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.123']]">
+      <sch:assert id="a-1098-30823-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-30823).</sch:assert>
+      <sch:assert id="a-1098-28656-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" (CONF:1098-28656).</sch:assert>
+      <sch:assert id="a-1098-28657-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.123'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-28657) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.123" (CONF:1098-28658).</sch:assert>
+      <sch:assert id="a-1098-31920-error" test="count(cda:id)&gt;=1">SHALL contain at least one [1..*] id (CONF:1098-31920).</sch:assert>
+      <sch:assert id="a-1098-28660-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-28660).</sch:assert>
+      <sch:assert id="a-1098-31921-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:1098-31921).</sch:assert>
+      <sch:assert id="a-1098-31922-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31922).</sch:assert>
+      <sch:assert id="a-1098-28661-error" test="count(cda:participant[@typeCode='RESP'][count(cda:participantRole[@classCode='ASSIGNED'][count(cda:id)&gt;=1] [count(cda:playingEntity[@classCode='PSN'][count(cda:name)=1])=1])=1])=1">SHALL contain at least one [1..*] participant (CONF:1098-28661) such that it SHALL contain exactly one [1..1] @typeCode="RESP" (CONF:1098-28663). SHALL contain exactly one [1..1] participantRole (CONF:1098-28662). This participantRole SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CONF:1098-28664). This participantRole SHALL contain at least one [1..*] id (CONF:1098-28665). This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-28667). This playingEntity SHALL contain exactly one [1..1] @classCode="PSN" (CONF:1098-28668).  This playingEntity SHALL contain exactly one [1..1] US Realm Patient Name (PTN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1) (CONF:1098-28669).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Drug-Monitoring-Act-code-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.123']]/cda:code">
+      <sch:assert id="a-1098-30818-error" test="@code='395170001'">This code SHALL contain exactly one [1..1] @code="395170001" medication monitoring (regime/therapy) (CONF:1098-30818).</sch:assert>
+      <sch:assert id="a-1098-30819-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30819).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Drug-Monitoring-Act-statusCode-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.123']]/cda:statusCode">
+      <sch:assert id="a-1098-32358-error" test="@code">This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.159331 DYNAMIC (CONF:1098-32358).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Diagnostic-Study-Recommended-pattern-errors">
+    <sch:rule id="Diagnostic-Study-Recommended-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.19'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27406-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27406).</sch:assert>
+      <sch:assert id="a-3343-13392-error" test="@moodCode='INT'">SHALL contain exactly one [1..1] @moodCode="INT" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-13392).</sch:assert>
+      <sch:assert id="a-3343-13393-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.19'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-13393) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.19" (CONF:3343-13394). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27070).</sch:assert>
+      <sch:assert id="a-3343-27619-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-27619).</sch:assert>
+      <sch:assert id="a-3343-13400-error" test="count(cda:author[count(cda:time)=1][count(cda:assignedAuthor)=1])=1">SHALL contain exactly one [1..1] author (CONF:3343-13400) such that it SHALL contain exactly one [1..1] time (CONF:3343-29044).  SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29043).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Diagnostic-Study-Recommended-author-assignedAuthor-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.19'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29045-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29045).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="eMeasure-Reference-QDM-pattern-errors">
+    <sch:rule id="eMeasure-Reference-QDM-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]">
+      <sch:assert id="a-67-12805-error" test="@classCode='CLUSTER'">SHALL contain exactly one [1..1] @classCode="CLUSTER" cluster (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:67-12805).</sch:assert>
+      <sch:assert id="a-67-12806-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:67-12806).</sch:assert>
+      <sch:assert id="a-67-12807-error" test="count(cda:statusCode[@code='completed'])=1">SHALL contain exactly one [1..1] statusCode="completed" completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:67-12807).</sch:assert>
+      <sch:assert id="a-67-12808-error" test="count(cda:reference[@typeCode='REFR'] [count(cda:externalDocument)=1])=1">SHALL contain exactly one [1..1] reference (CONF:67-12808) such that it SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:67-12809). SHALL contain exactly one [1..1] externalDocument (CONF:67-12810).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-externalDocument-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:reference/cda:externalDocument">
+      <sch:assert id="a-67-27017-error" test="@classCode='DOC'">This externalDocument SHALL contain exactly one [1..1] @classCode="DOC" Document (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:67-27017).</sch:assert>
+      <sch:assert id="a-67-12811-error" test="count(cda:id[@root='2.16.840.1.113883.4.738'][@extension])=1">This externalDocument SHALL contain exactly one [1..1] id (CONF:67-12811) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.738" (CONF:67-12812). SHALL contain exactly one [1..1] @extension (CONF:67-12813).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-component-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:component">
+      <sch:assert id="a-67-16679-error" test="count(cda:observation)=1">The component, if present, SHALL contain exactly one [1..1] observation (CONF:67-16679).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-component-observation-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:component/cda:observation">
+      <sch:assert id="a-67-16680-error" test="@negationInd">This observation SHALL contain exactly one [1..1] @negationInd (CONF:67-16680).</sch:assert>
+      <sch:assert id="a-67-16681-error" test="count(cda:code)=1">This observation SHALL contain exactly one [1..1] code (CONF:67-16681).</sch:assert>
+      <sch:assert id="a-67-16683-error" test="count(cda:value[@xsi:type='CD'])=1">This observation SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:67-16683).</sch:assert>
+      <sch:assert id="a-67-16684-error" test="count(cda:reference)=1">This observation SHALL contain exactly one [1..1] reference (CONF:67-16684).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-component-observation-code-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:component/cda:observation/cda:code">
+      <sch:assert id="a-67-16682-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:67-16682).</sch:assert>
+      <sch:assert id="a-67-27010-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:67-27010).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-component-observation-reference-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:component/cda:observation/cda:reference">
+      <sch:assert id="a-67-16685-error" test="@typeCode='REFR'">This reference SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:67-16685).</sch:assert>
+      <sch:assert id="a-67-16686-error" test="count(cda:externalObservation)=1">This reference SHALL contain exactly one [1..1] externalObservation (CONF:67-16686).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-component-observation-reference-externalObservation-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:component/cda:observation/cda:reference/cda:externalObservation">
+      <sch:assert id="a-67-16693-error" test="@classCode='OBS'">This externalObservation SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:67-16693).</sch:assert>
+      <sch:assert id="a-67-16694-error" test="@moodCode='EVN'">This externalObservation SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:67-16694).</sch:assert>
+      <sch:assert id="a-67-16687-error" test="count(cda:id)=1">This externalObservation SHALL contain exactly one [1..1] id (CONF:67-16687).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-component-observation-referenceRange-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:component/cda:observation/cda:referenceRange">
+      <sch:assert id="a-67-16690-error" test="count(cda:observationRange)=1">The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:67-16690).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-component-observation-referenceRange-observationRange-errors" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:component/cda:observation/cda:referenceRange/observationRange">
+      <sch:assert id="a-67-16691-error" test="count(cda:value[@xsi:type='REAL'])=1">This observationRange SHALL contain exactly one [1..1] value with @xsi:type="REAL" (CONF:67-16691).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Related-To-pattern-errors">
+    <sch:rule id="Related-To-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.150'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-29113-error" test="@typeCode='FLFS'">SHALL contain exactly one [1..1] @typeCode="FLFS" Fulfills (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-29113).</sch:assert>
+      <sch:assert id="a-3343-29104-error" test="count(sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.150'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] sdtc:templateId (CONF:3343-29104) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.150" (CONF:3343-29107). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-29108).</sch:assert>
+      <sch:assert id="a-3343-29105-error" test="count(sdtc:actReference)=1">SHALL contain exactly one [1..1] sdtc:actReference (CONF:3343-29105).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Related-To-actReference-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.150'][@extension='2017-08-01']]/sdtc:actReference">
+      <sch:assert id="a-3343-29114-error" test="@classCode">This sdtc:actReference SHALL contain exactly one [1..1] @classCode (CONF:3343-29114).</sch:assert>
+      <sch:assert id="a-3343-29110-error" test="@moodCode">This sdtc:actReference SHALL contain exactly one [1..1] @moodCode (CONF:3343-29110).</sch:assert>
+      <sch:assert id="a-3343-29106-error" test="count(sdtc:id)&gt;=1">This sdtc:actReference SHALL contain at least one [1..*] sdtc:id (CONF:3343-29106)</sch:assert>
+    </sch:rule>
+    <sch:rule id="Related-To-actReference-id-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.150'][@extension='2017-08-01']]/sdtc:actReference/sdtc:id">
+      <sch:assert id="a-3343-29111-error" test="@root">Such sdtc:ids SHALL contain exactly one [1..1] @root (CONF:3343-29111).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Program_Participation-pattern-errors">
+    <sch:rule id="Program_Participation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.154'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28974-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CONF:3343-29974).</sch:assert>
+      <sch:assert id="a-3343-28975-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28975).</sch:assert>
+      <sch:assert id="a-3343-28978-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28978).</sch:assert>
+      <sch:assert id="a-3343-28965-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.154'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-28965) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.154" (CONF:3343-28969) SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28970).</sch:assert>
+      <sch:assert id="a-3343-28976-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:3343-28976).</sch:assert>
+      <sch:assert id="a-3343-28964-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-28964).</sch:assert>
+      <sch:assert id="a-3343-28977-error" test="count(cda:statusCode[@code='completed']) = 1">SHALL contain exactly one [1..1] statusCode="completed" Completed (CONF:3343-28977).</sch:assert>
+      <sch:assert id="a-3343-28966-error" test="count(cda:effectiveTime) = 1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-28966).</sch:assert>
+      <sch:assert id="a-3343-28973-error" test="count(cda:value[@xsi:type='CD']) = 1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-28973)</sch:assert>
+    </sch:rule>
+    <sch:rule id="Program_Participation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.154'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28967-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" (CONF:3343-28967).</sch:assert>
+      <sch:assert id="a-3343-28968-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:3343-28968).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Program_Participation-effectiveTime-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.154'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-28971-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-28971).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Intervention_Order-pattern-errors">
+    <sch:rule id="Intervention_Order-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.31'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27353-error" test="@classCode='ACT'">SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27353).</sch:assert>
+      <sch:assert id="a-3343-13742-error" test="@moodCode='RQO'">SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-13742).</sch:assert>
+      <sch:assert id="a-3343-13743-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.31'][@extension='2017-08-01']) = 1">SHALL contain exactly one [1..1] templateId (CONF:3343-13743) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.31" (CONF:3343-13744). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-26556).</sch:assert>
+      <sch:assert id="a-3343-13746-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code (CONF:3343-13746).</sch:assert>
+      <sch:assert id="a-3343-27343-error" test="count(cda:author) = 1">SHALL contain exactly one [1..1] author (CONF:3343-27343).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Intervention_Order-author-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.31'][@extension='2017-08-01']]/cda:author">
+      <sch:assert id="a-3343-29017-error" test="count(cda:time)=1">This author SHALL contain exactly one [1..1] time (CONF:3343-29017).</sch:assert>
+      <sch:assert id="a-3343-29016-error" test="count(cda:assignedAuthor)=1">This author SHALL contain exactly one [1..1] assignedAuthor (CONF:3343-29016).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Intervention_Order-author-assignedAuthor-errors" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.31'][@extension='2017-08-01']]/cda:author/cda:assignedAuthor">
+      <sch:assert id="a-3343-29018-error" test="count(cda:id)&gt;=1">This assignedAuthor SHALL contain at least one [1..*] id (CONF:3343-29018).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Age-observation-pattern-errors">
+    <sch:rule id="Age-observation-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.31']]">
+      <sch:assert id="a-81-7613-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-7613).</sch:assert>
+      <sch:assert id="a-81-7614-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-7614).</sch:assert>
+      <sch:assert id="a-81-7899-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.31'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:81-7899) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.31" (CONF:81-10487).</sch:assert>
+      <sch:assert id="a-81-7615-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:81-7615).</sch:assert>
+      <sch:assert id="a-81-15965-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:81-15965).</sch:assert>
+      <sch:assert id="a-81-7617-error" test="count(cda:value[@xsi:type='PQ'])=1">SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:81-7617).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Age-observation-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.31']]/cda:code">
+      <sch:assert id="a-81-16776-error" test="@code='445518008'">This code SHALL contain exactly one [1..1] @code="445518008" Age At Onset (CONF:81-16776).</sch:assert>
+      <sch:assert id="a-81-26499-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:81-26499).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Age-observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.31']]/cda:statusCode">
+      <sch:assert id="a-81-15966-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:81-15966).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Age-observation-value-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.31']]/cda:value[@xsi:type='PQ']">
+      <sch:assert id="a-81-7618-error" test="@unit">This value SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet AgePQ_UCUM urn:oid:2.16.840.1.113883.11.20.9.21 DYNAMIC (CONF:81-7618).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Priority-Preference-pattern-errors">
+    <sch:rule id="Priority-Preference-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.143']]">
+      <sch:assert id="a-1098-30949-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-30949).</sch:assert>
+      <sch:assert id="a-1098-30950-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30950).</sch:assert>
+      <sch:assert id="a-1098-30951-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.22.4.143'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:1098-30951) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.143" (CONF:1098-30952).</sch:assert>
+      <sch:assert id="a-1098-30953-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:1098-30953).</sch:assert>
+      <sch:assert id="a-1098-30954-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:1098-30954).</sch:assert>
+      <sch:assert id="a-1098-30957-error" test="count(cda:value[@xsi:type='CD' and @code=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.11.20.9.60']/voc:code/@value or @nullFlavor])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Priority Level urn:oid:2.16.840.1.113883.11.20.9.60 STATIC 2014-06-11 (CONF:1098-30957).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Priority-Preference-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.143']]/cda:code">
+      <sch:assert id="a-1098-30955-error" test="@code='225773000'">This code SHALL contain exactly one [1..1] @code="225773000" Preference (CONF:1098-30955).</sch:assert>
+      <sch:assert id="a-1098-30956-error" test="@codeSystem='2.16.840.1.113883.6.96'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30956).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Performed-pattern-errors">
+    <sch:rule id="Procedure-Performed-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.64'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27308-error" test="@classCode='PROC'">SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-27308).</sch:assert>
+      <sch:assert id="a-3343-11261-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:3343-11261).</sch:assert>
+      <sch:assert id="a-3343-11262-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.64'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-11262) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.64" (CONF:3343-11263). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-27129).</sch:assert>
+      <sch:assert id="a-3343-27309-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-27309).</sch:assert>
+      <sch:assert id="a-3343-27305-error" test="count(cda:statusCode)=1">SHALL contain exactly one [1..1] statusCode (CONF:3343-27305).</sch:assert>
+      <sch:assert id="a-3343-11669-error" test="count(cda:effectiveTime)=1">SHALL contain exactly one [1..1] effectiveTime (CONF:3343-11669).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Performed-statusCode-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.64'][@extension='2017-08-01']]/cda:statusCode">
+      <sch:assert id="a-3343-27367-error" test="@code='completed'">This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:3343-27367).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Performed-effectiveTime-errors" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.64'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-11670-error" test="count(cda:low)=1">This effectiveTime SHALL contain exactly one [1..1] low (CONF:3343-11670).</sch:assert>
+      <sch:assert id="a-3343-11671-error" test="count(cda:high)=1">This effectiveTime SHALL contain exactly one [1..1] high (CONF:3343-11671).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Adverse-Event-Cause-Observation-Assertion-pattern-errors">
+    <sch:rule id="Adverse-Event-Cause-Observation-Assertion-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.148'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28741-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" Observation (CONF:3343-28741).</sch:assert>
+      <sch:assert id="a-3343-28742-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:3343-28742).</sch:assert>
+      <sch:assert id="a-3343-28745-error" test="not(@negationInd)">SHALL NOT contain [0..0] @negationInd (CONF:3343-28745).</sch:assert>
+      <sch:assert id="a-3343-28731-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.148'][@extension='2017-08-01'])=1">SHALL contain exactly one [1..1] templateId (CONF:3343-28731) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.148" (CONF:3343-28736). SHALL contain exactly one [1..1] @extension="2017-08-01" (CONF:3343-28737).</sch:assert>
+      <sch:assert id="a-3343-28730-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:3343-28730).</sch:assert>
+      <sch:assert id="a-3343-28733-error" test="count(cda:value[@xsi:type='CD'])=1">SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:3343-28733).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Adverse-Event-Cause-Observation-Assertion-code-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.148'][@extension='2017-08-01']]/cda:code">
+      <sch:assert id="a-3343-28734-error" test="@code='ASSERTION'">This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:3343-28734).</sch:assert>
+      <sch:assert id="a-3343-28735-error" test="@codeSystem='2.16.840.1.113883.5.4'">This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:3343-28735).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <!--
+      WARNING Patterns and Assertions
+  -->
+  <sch:pattern id="US-Realm-Address-pattern-warnings">
+    <sch:rule id="US-Realm-Address-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:recordTarget/cda:patientRole/cda:addr             | cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.18']]/cda:performer/cda:assignedEntity/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:author/cda:assignedAuthor/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:dataEnterer/cda:assignedEntity/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:legalAuthenticator/cda:assignedEntity/cda:addr             | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:addr">
+      <sch:assert id="a-81-7290-warning" test="@use">SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290).</sch:assert>
+      <sch:assert id="a-81-7295-warning" test="count(cda:country)=1">SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet Country urn:oid:2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:81-7295).</sch:assert>
+      <sch:assert id="a-81-7293-warning" test="count(cda:state)=1">SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293).</sch:assert>
+      <sch:assert id="a-81-7294-warning" test="count(cda:postalCode)=1">SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Measure_Reference-pattern-warnings">
+    <sch:rule id="Measure_Reference-externalDocument-warnings" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.98']]/cda:reference/cda:externalDocument">
+      <sch:assert id="a-67-12997-warning" test="count(cda:text) &gt; 0">This externalDocument SHOULD contain zero or one [0..1] text (CONF:67-12997).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Free_Text_Sig-pattern-warnings">
+    <sch:rule id="Medication_Free_Text_Sig-reference-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.147']]/cda:text/cda:reference">
+      <sch:assert id="a-1198-32756-warning" test="count(@value) = 1">This reference SHOULD contain zero or one [0..1] @value (CONF:1198-32756).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Supply_Order-pattern-warnings">
+    <sch:rule id="Medication_Supply_Order-effectiveTime-warnings" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.17'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-15143-warning" test="count(cda:effectiveTime[count(cda:high)=1]) = 1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-15143) such that it SHALL contain exactly one [1..1] high (CONF:1098-15144).</sch:assert>
+      <sch:assert id="a-1098-7434-warning" test="count(cda:repeatNumber) = 1">SHOULD contain zero or one [0..1] repeatNumber (CONF:1098-7434).</sch:assert>
+      <sch:assert id="a-1098-7436-warning" test="count(cda:quantity) = 1">SHOULD contain zero or one [0..1] quantity (CONF:1098-7436).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Reaction-Observation-pattern-warnings">
+    <sch:rule id="Reaction-Observation-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.9'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7332-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7332).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Reaction-Observation-effectiveTime-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.9'][@extension='2014-06-09']]/cda:effectiveTime">
+      <sch:assert id="a-1098-7333-warning" test="count(cda:low)=1">The effectiveTime, if present, SHOULD contain zero or one [0..1] low (CONF:1098-7333).</sch:assert>
+      <sch:assert id="a-1098-7334-warning" test="count(cda:high)=1">The effectiveTime, if present, SHOULD contain zero or one [0..1] high (CONF:1098-7334).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Provider-Characteristic-Observation-Assertion-pattern-warnings">
+    <sch:rule id="Provider-Characteristic-Observation-Assertion-participant-participantRole-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.114'][@extension='2017-08-01']]/cda:participant/cda:participantRole">
+      <sch:assert id="a-3343-28221-warning" test="count(cda:id [@root='2.16.840.1.113883.4.6'][@extension])&gt;=1">This participantRole SHOULD contain zero or more [0..*] id (CONF:3343-28221) such that it  SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider ID (CONF:3343-28222).  SHOULD contain zero or one [0..1] @extension (CONF:3343-28223).</sch:assert>
+      <sch:assert id="a-3343-28218-warning" test="count(cda:code)=1">This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 (CONF:3343-28220).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Activity-Observation-pattern-warnings">
+    <sch:rule id="Procedure-Activity-Observation-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8246-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-8246).</sch:assert>
+      <sch:assert id="a-1098-8250-warning" test="count(cda:targetSiteCode)&gt;=1">SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-8250).</sch:assert>
+      <sch:assert id="a-1098-8251-warning" test="count(cda:performer)&gt;=1">SHOULD contain zero or more [0..*] performer (CONF:1098-8251).</sch:assert>
+      <sch:assert id="a-1098-32478-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;=1">SHOULD contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32478).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-code-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-19198-warning" test="count(cda:originalText)=1">This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19198).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-code-originalText-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:code/cda:originalText">
+      <sch:assert id="a-1098-19199-warning" test="count(cda:reference)=1">The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19199).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-code-originalText-reference-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:code/cda:originalText/cda:reference">
+      <sch:assert id="a-1098-19200-warning" test="@value">The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19200).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-performer-assignedEntity-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1098-8256-warning" test="count(cda:representedOrganization)=1">This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8256).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Observation-performer-assignedEntity-representedOrganization-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity/cda:representedOrganization">
+      <sch:assert id="a-1098-8257-warning" test="count(cda:id)&gt;=1">The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8257).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Dispense_V2-pattern-warnings">
+    <sch:rule id="Medication_Dispense_V2-warning" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.18'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7456-warning" test="count(cda:effectiveTime) = 1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7456).</sch:assert>
+      <sch:assert id="a-1098-7457-warning" test="count(cda:repeatNumber) = 1">SHOULD contain zero or one [0..1] repeatNumber (CONF:1098-7457).</sch:assert>
+      <sch:assert id="a-1098-7458-warning" test="count(cda:quantity) = 1">SHOULD contain zero or one [0..1] quantity (CONF:1098-7458).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Dispense_V2-may-performer-warnings" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.18'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1098-7468-warning" test="count(cda:addr) = 1">This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1098-7468).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Indication-pattern-warnings">
+    <sch:rule id="Indication-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.19'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7488-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7488).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Substance-Device-Allergy-Intolerance-Observation-pattern-warnings">
+    <sch:rule id="Substance-Device-Allergy-Intolerance-Observation-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.90'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-31144-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;=1">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31144).</sch:assert>
+      <sch:assert id="a-1098-16318-warning" test="count(cda:participant[@typeCode='CSM']  [count(cda:participantRole[@classCode='MANU']  [count(cda:playingEntity[@classCode='MMAT']  [count(cda:code)=1])=1])=1])&gt;=1">SHOULD contain zero or more [0..*] participant (CONF:1098-16318) such that it SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-16319). SHALL contain exactly one [1..1] participantRole (CONF:1098-16320). This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1098-16321). This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-16322). This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:1098-16323).  This playingEntity SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Substance-Reactant for Intolerance urn:oid:2.16.840.1.113762.1.4.1010.1 DYNAMIC (CONF:1098-16324).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Family_History_Organizer_V3-pattern-warnings">
+    <sch:rule id="Family_History_Organizer_QDM_V2-subject-warnings" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:subject/cda:relatedSubject">
+      <sch:assert id="a-1198-15248-warning" test="count(cda:subject) = 1">This relatedSubject SHOULD contain zero or one [0..1] subject (CONF:1198-15248).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Organizer_QDM_V2-subject-subject-warnings" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.45'][@extension='2015-08-01']]/cda:subject/cda:relatedSubject/cda:subject">
+      <sch:assert id="a-1198-15976-warning" test="count(cda:birthTime) = 1">The subject, if present, SHOULD contain zero or one [0..1] birthTime (CONF:1198-15976).</sch:assert>
+      <sch:assert id="a-1198-15249-warning" test="count(sdtc:id) &gt; 0">The subject SHOULD contain zero or more [0..*] sdtc:id. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the id element (CONF:1198-15249).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned-Medication-Activity-pattern-warnings">
+    <sch:rule id="Planned-Medication-Activity-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.42'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-32046-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) &gt;= 1">SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32046).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Medication-Activity-doseQuantity-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.42'][@extension='2014-06-09']]/cda:doseQuantity">
+      <sch:assert id="a-1098-32133-warning" test="@unit">The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-32133).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Medication-Activity-rateQuantity-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.42'][@extension='2014-06-09']]/cda:rateQuantity">
+      <sch:assert id="a-1098-32134-warning" test="@unit">The rateQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-32134).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned-Observation-pattern-warnings">
+    <sch:rule id="Planned-Observation-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.44'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-30454-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30454).</sch:assert>
+      <sch:assert id="a-1098-32033-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) &gt;= 1">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32033).</sch:assert>
+      <sch:assert id="a-1098-32044-warning" test="count(cda:targetSiteCode) &gt;= 1">SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-32044).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned-Supply-pattern-warnings">
+    <sch:rule id="Planned-Supply-warnings" context="cda:supply[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.43'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-30459-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30459).</sch:assert>
+      <sch:assert id="a-1098-32325-warning" test="count(cda:product)=1">SHOULD contain zero or one [0..1] product (CONF:1098-32325).</sch:assert>
+      <sch:assert id="a-1098-31129-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])=1">SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31129).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Immunization_activity-pattern-warnings">
+    <sch:rule id="Immunization_activity-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.52'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8841-warning" test="count(cda:doseQuantity)=1">SHOULD contain zero or one [0..1] doseQuantity (CONF:1098-8841).</sch:assert>
+      <sch:assert id="a-1098-8849-warning" test="count(cda:performer)=1">SHOULD contain zero or one [0..1] performer (CONF:1098-8849).</sch:assert>
+      <sch:assert id="a-1098-31151-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) &gt; 0">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31151).</sch:assert>
+      <sch:assert id="a-1098-31510-warning" test="count(cda:entryRelationship[@typeCode='COMP'][@inversionInd='true'][count(cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.118']])=1]) &gt; 0">SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-31510) such that it SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31511). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31512). SHALL contain exactly one [1..1] Substance Administered Act (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.118) (CONF:1098-31514).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Immunization_activity-doseQuantity-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.52'][@extension='2014-06-09']]/cda:doseQuantity">
+      <sch:assert id="a-1098-8842-warning" test="@unit">The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-8842).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Family_History_Observation_V3-pattern-warnings">
+    <sch:rule id="Family_History_Observation_V3-code-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.46'][@extension='2015-08-01']]/cda:code">
+      <sch:assert id="a-1198-32427-v-warning" test="@code=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.3.88.12.3221.7.2']/voc:code/@value">SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2012-06-01 (CONF:1198-32427).</sch:assert>
+      <sch:assert id="a-1198-32847-warning" test="count(cda:translation[@sdtc:valueSet='2.16.840.1.113883.3.88.12.3221.7.2']) &gt; 0">This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2014-09-02 (CONF:1198-32847).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Family_History_Observation_V3-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.46'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-8593-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1198-8593).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Author-Participation-pattern-warnings">
+    <sch:rule id="Author-Participation-assignedAuthor-warnings" context="cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]/cda:assignedAuthor">
+      <sch:assert id="a-1098-31671-warning" test="count(cda:code)=1">This assignedAuthor SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-31671). .</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned_Encounter-pattern-warnings">
+    <sch:rule id="Planned_Encounter-warnings" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.40'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-30440-warning" test="count(cda:effectiveTime) = 1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30440).</sch:assert>
+      <sch:assert id="a-1098-32045-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) &gt; 0">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32045).</sch:assert>
+      <sch:assert id="a-1098-31032-warning" test="count(cda:code) = 1">SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Encounter Planned urn:oid:2.16.840.1.113883.11.20.9.52 DYNAMIC (CONF:1098-31032).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Device-Applied-pattern-warnings">
+    <sch:rule id="Device-Applied-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.7'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-12416-warning" test="count(cda:targetSiteCode)=1">SHOULD contain zero or one [0..1] targetSiteCode (CONF:3343-12416).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Patient_Characteristic_Payer-pattern-warnings">
+    <sch:rule id="Patient_Characteristic_Payer-effectiveTime-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.55']]/cda:effectiveTime">
+      <sch:assert id="a-67-26935-warning" test="count(cda:high)=1">This effectiveTime SHOULD contain zero or one [0..1] high (CONF:67-26935).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Admission_Source-pattern-warnings">
+    <sch:rule id="Admission_Source-warnings" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.151'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-29095-warning" test="count(cda:addr) &gt; 0">SHOULD contain zero or more [0..*] addr (CONF:3343-29095).</sch:assert>
+      <sch:assert id="a-3343-29096-warning" test="count(cda:telecom) &gt; 0">SHOULD contain zero or more [0..*] telecom (CONF:3343-29096).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Priority-Preference-pattern-warnings">
+    <sch:rule id="Priority-Preference-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.143']]">
+      <sch:assert id="a-1098-32327-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-32327).</sch:assert>
+      <sch:assert id="a-1098-30958-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;=1">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-30958).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="US_Realm-pattern-warnings">
+    <sch:rule id="US_Realm-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-5579-warning" test="count(cda:legalAuthenticator)=1">SHOULD contain zero or one [0..1] legalAuthenticator (CONF:1198-5579).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-confidentialityCode-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:confidentialityCode">
+      <sch:assert id="a-1198-5259-v-warning" test="@code=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.1.11.16926']/voc:code/@value">SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 STATIC (CONF:1198-5259).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-telecom-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:telecom">
+      <sch:assert id="a-1198-5375-warning" test="@use">Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:1198-5375).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient">
+      <sch:assert id="a-1198-5303-warning" test="count(cda:maritalStatusCode)=1">This patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status urn:oid:2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:1198-5303).</sch:assert>
+      <sch:assert id="a-1198-5406-warning" test="count(cda:languageCommunication) &gt; 0">This patient SHOULD contain zero or more [0..*] languageCommunication (CONF:1198-5406).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-birthTime-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:birthTime">
+      <sch:assert id="a-1198-5300-warning" test="string-length(@value) &gt;= 8">SHOULD be precise to day (CONF:1198-5300).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-guardian-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:guardian">
+      <sch:assert id="a-1198-5326-warning" test="count(cda:code)=1">The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-5326).</sch:assert>
+      <sch:assert id="a-1198-5359-warning" test="count(cda:addr) &gt; 0">The guardian, if present, SHOULD contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5359).</sch:assert>
+      <sch:assert id="a-1198-5382-warning" test="count(cda:telecom) &gt; 0">The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:1198-5382).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-guardian-telecom-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:telecom">
+      <sch:assert id="a-1198-7993-warning" test="@use">The telecom, if present, SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:1198-7993).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-birthplace-place-addr-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:birthplace/cda:place/cda:addr">
+      <sch:assert id="a-1198-5404-warning" test="count(cda:country)=1">This addr SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet Country urn:oid:2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:1198-5404).</sch:assert>
+      <sch:assert id="a-1198-5402-warning" test="count(cda:state)=1 and (cda:country='US' or cda:country='USA')">If country is US, this addr SHALL contain exactly one [1..1] state, which SHALL be selected from ValueSet StateValueSet 2.16.840.1.113883.3.88.12.80.1 DYNAMIC (CONF:1198-5402).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-patient-languageCommunication-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:patient/cda:languageCommunication">
+      <sch:assert id="a-1198-9965-warning" test="count(cda:proficiencyLevelCode)=1">The languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency urn:oid:2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:1198-9965).</sch:assert>
+      <sch:assert id="a-1198-5414-warning" test="count(cda:preferenceInd)=1">The languageCommunication, if present, SHOULD contain zero or one [0..1] preferenceInd (CONF:1198-5414).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-providerOrganization-id-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:providerOrganization/cda:id">
+      <sch:assert id="a-1198-16820-warning" test="@root='2.16.840.1.113883.4.6'">Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-16820).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-recordTarget-patientRole-providerOrganization-telecom-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:recordTarget/cda:patientRole/cda:providerOrganization/cda:telecom">
+      <sch:assert id="a-1198-7994-warning" test="@use">Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:1198-7994).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-author-assignedAuthor-assignedPerson-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:author/cda:assignedAuthor/cda:assignedPerson">
+      <sch:assert id="a-1198-32882-warning" test="count(../cda:id[@root='2.16.840.1.113883.4.6'][@extension])=1">This assignedAuthor SHOULD contain zero or one [0..1] id (CONF:1198-32882) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-32884). SHOULD contain zero or one [0..1] @extension (CONF:1198-32885).</sch:assert>
+      <sch:assert id="a-1198-16787-warning" test="count(../cda:code)=1">This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-16787).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-author-assignedAuthor-telecom-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:author/cda:assignedAuthor/cda:telecom">
+      <sch:assert id="a-1198-7995-warning" test="@use">Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:1198-7995).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-dataEnterer-assignedEntity-id-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:dataEnterer/cda:assignedEntity/cda:id">
+      <sch:assert id="a-1198-16821-warning" test="@root='2.16.840.1.113883.4.6'">Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-16821).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-dataEnterer-assignedEntity-telecom-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:dataEnterer/cda:assignedEntity/cda:telecom">
+      <sch:assert id="a-1198-7996-warning" test="@use">Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:1198-7996).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-custodian-assignedCustodian-representedCustodianOrganization-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization">
+      <sch:assert id="a-1198-16822-warning" test="count(cda:id[@root='2.16.840.1.113883.4.6'])=1">Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-16822).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-custodian-assignedCustodian-representedCustodianOrganization-telecom-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization/cda:telecom">
+      <sch:assert id="a-1198-7998-warning" test="@use">This telecom SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:1198-7998).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-legalAuthenticator-assignedEntity-telecom-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:legalAuthenticator/cda:assignedEntity/cda:telecom">
+      <sch:assert id="a-1198-7999-warning" test="@use">Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:1198-7999).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-serviceEvent-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf/cda:serviceEvent">
+      <sch:assert id="a-1198-14839-warning" test="count(cda:performer) &gt; 0">This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:1198-14839).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-serviceEvent-performer-functionCode-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf/cda:serviceEvent/cda:performer/cda:functionCode">
+      <sch:assert id="a-1198-32889-warning" test="@code=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.1.11.10267']/voc:code/@value">The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet ParticipationFunction urn:oid:2.16.840.1.113883.1.11.10267 STATIC (CONF:1198-32889).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-serviceEvent-performer-assignedEntity-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf/cda:serviceEvent/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1198-14842-warning" test="count(cda:code)=1">This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-14842).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US_Realm-documentationOf-serviceEvent-performer-assignedEntity-id-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1'][@extension='2015-08-01']]/cda:documentationOf/cda:serviceEvent/cda:performer/cda:assignedEntity/cda:id">
+      <sch:assert id="a-1198-14847-warning" test="@root='2.16.840.1.113883.4.6'">Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-14847).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Goal_Observation-pattern-warnings">
+    <sch:rule id="Goal_Observation-codesystem-code-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.121']]/cda:code">
+      <sch:assert id="a-1098-30784-c-warning" test="@codeSystem='2.16.840.1.113883.6.1'">SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-30784).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Goal_Observation-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.121']]">
+      <sch:assert id="a-1098-32335-warning" test="count(cda:effectiveTime) = 1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-32335).</sch:assert>
+      <sch:assert id="a-1098-30995-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) &gt;= 1">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-30995).</sch:assert>
+      <sch:assert id="a-1098-30785-warning" test="count(cda:entryRelationship[@typeCode='REFR'][cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.143']]]) = 1">SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-30785) such that it SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30786). SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-30787).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="eMeasure-Reference-QDM-pattern-warnings">
+    <sch:rule id="eMeasure-Reference-QDM-reference-externalDocument-warnings" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:reference/cda:externalDocument">
+      <sch:assert id="a-67-12864-warning" test="count(cda:code)=1">This externalDocument SHOULD contain zero or one [0..1] code (CONF:67-12864).</sch:assert>
+      <sch:assert id="a-67-12865-warning" test="count(cda:text)=1">This externalDocument SHOULD contain zero or one [0..1] text (CONF:67-12865).</sch:assert>
+      <sch:assert id="a-67-12867-warning" test="count(cda:setId)=1">This externalDocument SHOULD contain zero or one [0..1] setId (CONF:67-12867).</sch:assert>
+      <sch:assert id="a-67-12869-warning" test="count(cda:versionNumber)=1">This externalDocument SHOULD contain zero or one [0..1] versionNumber (CONF:67-12869).</sch:assert>
+    </sch:rule>
+    <sch:rule id="eMeasure-Reference-QDM-reference-externalDocument-code-warnings" context="cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.97']]/cda:reference/cda:externalDocument/cda:code">
+      <sch:assert id="a-67-27015-warning" test="@code='57024-2'">The code, if present, SHOULD contain zero or one [0..1] @code="57024-2" Health Quality Measure Document (CONF:67-27015).</sch:assert>
+      <sch:assert id="a-67-27016-warning" test="@codeSystem='2.16.840.1.113883.6.1'">The code, if present, SHOULD contain zero or one [0..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:67-27016).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="External-Document-Reference-pattern-warnings">
+    <sch:rule id="External-Document-Reference-warnings" context="cda:externalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.115'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-32752-warning" test="count(cda:setId)=1">SHOULD contain zero or one [0..1] setId (CONF:1098-32752).</sch:assert>
+      <sch:assert id="a-1098-32753-warning" test="count(cda:versionNumber)=1">SHOULD contain zero or one [0..1] versionNumber (CONF:1098-32753).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Adverse_Event-pattern-warnings">
+    <sch:rule id="Adverse_Event-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-28750-warning" test="count(cda:entryRelationship[@typeCode='MFST'][@inversionInd='true'][count(cda:observation/cda:templateId[@root='2.16.840.1.113883.10.20.22.4.9'][@extension='2014-06-09'])=1])=1">SHOULD contain zero or one [0..1] entryRelationship (CONF:3343-28750) such that it SHALL contain exactly one [1..1] @typeCode="MFST" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3343-28759). SHALL contain exactly one [1..1] @inversionInd="true" (CONF:3343-28760). SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:3343-28758).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Adverse_Event-effectiveTime-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.146'][@extension='2017-08-01']]/cda:effectiveTime">
+      <sch:assert id="a-3343-28767-warning" test="count(cda:high)=1">This effectiveTime SHOULD contain zero or one [0..1] high (CONF:3343-28767).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Activity-Act-pattern-warnings">
+    <sch:rule id="Procedure-Activity-Act-warnings" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-8301-warning" test="count(cda:performer)&gt;=1">SHOULD contain zero or more [0..*] performer (CONF:1098-8301).</sch:assert>
+      <sch:assert id="a-1098-32477-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;=1">SHOULD contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32477).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Act-code-warnings" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-19186-warning" test="count(cda:originalText)=1">This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19186).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Act-performer-assignedEntity-warnings" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1098-8306-warning" test="count(cda:representedOrganization)=1">This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8306).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Act-performer-assignedEntity-representedOrganization-warnings" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity/cda:representedOrganization">
+      <sch:assert id="a-1098-8307-warning" test="count(cda:id)&gt;=1">The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8307).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Service-Delivery-Location-pattern-warnings">
+    <sch:rule id="Service-Delivery-Location-warnings" context="cda:participationRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.32']]">
+      <sch:assert id="a-81-7760-warning" test="count(cda:addr)&gt;=1">SHOULD contain zero or more [0..*] addr (CONF:81-7760).</sch:assert>
+      <sch:assert id="a-81-7761-warning" test="count(cda:telecom)=1">SHOULD contain zero or more [0..*] telecom (CONF:81-7761).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Performed-pattern-warnings">
+    <sch:rule id="Procedure-Performed-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.64'][@extension='2017-08-01']]">
+      <sch:assert id="a-3343-27312-warning" test="count(cda:targetSiteCode)&gt;=1">SHOULD contain zero or more [0..*] targetSiteCode (CONF:3343-27312).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Facility-Location-pattern-warnings">
+    <sch:rule id="Facility-Location-participantRole-warnings" context="cda:participant[cda:templateId[@root='2.16.840.1.113883.10.20.24.3.100']]/cda:participantRole">
+      <sch:assert id="a-3343-13379-warning" test="count(cda:addr) &gt; 0">This participantRole SHOULD contain zero or more [0..*] addr (CONF:3343-13379).</sch:assert>
+      <sch:assert id="a-3343-13380-warning" test="count(cda:telecom) &gt; 0">This participantRole SHOULD contain zero or more [0..*] telecom (CONF:3343-13380).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Procedure-Activity-Procedure-pattern-warnings">
+    <sch:rule id="Procedure-Activity-Procedure-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7662-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7662).</sch:assert>
+      <sch:assert id="a-1098-7683-warning" test="count(cda:targetSiteCode)&gt;=1">SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-7683).</sch:assert>
+      <sch:assert id="a-1098-7718-warning" test="count(cda:performer[count(cda:assignedEntity[count(cda:id) &gt; 0][count(cda:addr) &gt; 0][count(cda:telecom) &gt; 0])=1]) &gt; 0">SHOULD contain zero or more [0..*] performer (CONF:1098-7718) such that it SHALL contain exactly one [1..1] assignedEntity (CONF:1098-7720). This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-7722). This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-7731). This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-7732).</sch:assert>
+      <sch:assert id="a-1098-32479-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;=1">SHOULD contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32479).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-code-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-19203-warning" test="count(cda:originalText)=1">This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19203).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-code-originalText-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:code/cda:originalText">
+      <sch:assert id="a-1098-19204-warning" test="count(cda:reference)=1">The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19204).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-code-originalText-reference-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:code/cda:originalText/cda:reference">
+      <sch:assert id="a-1098-19205-warning" test="@value">The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19205).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-specimen-specimenRole-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:specimen/cda:specimenRole">
+      <sch:assert id="a-1098-7716-warning" test="count(cda:id)&gt;=1">This specimenRole SHOULD contain zero or more [0..*] id (CONF:1098-7716).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-performer-assignedEntity-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity">
+      <sch:assert id="a-1098-7733-warning" test="count(cda:representedOrganization)=1">This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-7733).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Procedure-Activity-Procedure-performer-assignedEntity-representedOrganization-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14'][@extension='2014-06-09']]/cda:performer/cda:assignedEntity/cda:representedOrganization">
+      <sch:assert id="a-1098-7734-warning" test="count(cda:id)&gt;=1">The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-7734).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned_Act-pattern-warnings">
+    <sch:rule id="Planned_Act-warnings" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.39'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-32020-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) = 1">SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32020).</sch:assert>
+      <sch:assert id="a-1098-30433-warning" test="count(cda:effectiveTime) = 1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30433).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned_Act-code-warnings" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.39'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-32030-warning" test="@codeSystem = '2.16.840.1.113883.6.96' or @codeSystem = '2.16.840.1.113883.6.1'">This code in a Planned Act SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) OR SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-32030).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Problem-Observation-pattern-warnings">
+    <!-- Corrected cda:observation, was incorrectly prefixed with cda:act -->
+    <sch:rule id="Problem-Observation-participant-participantRole-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-31147-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;=1">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31147).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Medication_Activity-pattern-warnings">
+    <sch:rule id="Medication_Activity-effectiveTime-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']]/cda:effectiveTime">
+      <sch:assert id="a-1098-7513-warning" test="parent::node()[count(cda:effectiveTime[@operator='A'][@xsi:type='PIVL_TS' or 'EIVL_TS'])=1]">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it SHALL contain exactly one [1..1] @operator="A" (CONF:1098-9106). SHALL contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Activity-doseQuantity-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']]/cda:doseQuantity">
+      <sch:assert id="a-1098-7526-warning" test="@unit">This doseQuantity SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-7526).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Medication_Activity-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.16'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-7514-warning" test="count(cda:routeCode) = 1">SHOULD contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet Medication Route FDA urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).</sch:assert>
+      <sch:assert id="a-1098-31150-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) &gt; 0">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31150).</sch:assert>
+      <sch:assert id="a-1098-30800-warning" test="(count(cda:doseQuantity) &gt; 0) or (count(cda:rateQuantity) &gt; 0)">Medication Activity SHOULD include doseQuantity OR rateQuantity (CONF:1098-30800).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Encounter-Activity-pattern-warnings">
+    <sch:rule id="Encounter-Activity-warnings" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-8738-warning" test="count(cda:participant[@typeCode='LOC'][count(cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.32']])=1])&gt;=1">SHOULD contain zero or more [0..*] participant (CONF:1198-8738) such that it SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8740).  SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1198-14903).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Activity-code-warnings" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01']]/cda:code">
+      <sch:assert id="a-1198-8719-warning" test="count(cda:originalText)=1">This code SHOULD contain zero or one [0..1] originalText (CONF:1198-8719).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Activity-code-originalText-warnings" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01']]/cda:code/cda:originalText">
+      <sch:assert id="a-1198-15970-warning" test="count(cda:reference)=1">The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1198-15970).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Activity-code-originalText-reference-warnings" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01']]/cda:code/cda:originalText/cda:reference">
+      <sch:assert id="a-1198-15971-warning" test="@value">The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1198-15971).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Encounter-Activity-dischargeDispositionCode-warnings" context="cda:encounter[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.49'][@extension='2015-08-01']]/sdtc:dischargeDispositionCode">
+      <sch:assert id="a-1198-32177-warning" test="count(cda:code)=1">This sdtc:dischargeDispositionCode SHOULD contain exactly [1..1] @code, which SHOULD be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) DYNAMIC or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177).</sch:assert>
+      <sch:assert id="a-1198-32377-warning" test="count(cda:codeSystem)=1">This sdtc:dischargeDispositionCode SHOULD contain exactly [1..1] @codeSystem, which SHOULD be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 OR CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Product-Instance-pattern-warnings">
+    <sch:rule id="Product-Instance-playingDevice-warnings" context="cda:participantRole[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.37']]/cda:playingDevice">
+      <sch:assert id="a-81-16837-warning" test="count(cda:code)=1">This playingDevice SHOULD contain zero or one [0..1] code (CONF:81-16837).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned_Immunization_Activity-pattern-warnings">
+    <sch:rule id="Planned_Immunization_Activity-doseQuantity-warnings" context="cda:substanceAdministration[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.120']]/cda:doseQuantity">
+      <sch:assert id="a-1098-32130-warning" test="@unit">The doseQuantity, if present, SHOULD contain zero or one [0..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-32130).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Result-Observation-pattern-warnings">
+    <sch:rule id="Result-Observation-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.2'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-7147-warning" test="count(cda:interpretationCode)&gt;=1">SHOULD contain zero or more [0..*] interpretationCode (CONF:1198-7147).</sch:assert>
+      <sch:assert id="a-1198-7149-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;=1">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-7149).</sch:assert>
+      <sch:assert id="a-1198-7150-warning" test="count(cda:referenceRange)&gt;=1">SHOULD contain zero or more [0..*] referenceRange (CONF:1198-7150).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Immunization_medication_information-pattern-warnings">
+    <sch:rule id="Immunization_medication_information-warnings" context="cda:manufacturedProduct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.54'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-9012-warning" test="count(cda:manufacturerOrganization)=1">SHOULD contain zero or one [0..1] manufacturerOrganization (CONF:1098-9012).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="QDM_based_QRDA_V5-pattern-warnings">
+    <sch:rule id="QDM_based_QRDA_V5-documentationOf-serviceEvent-performer-assignedEntity-representedOrganization-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.2'][@extension='2017-08-01']]/cda:documentationOf/cda:serviceEvent/cda:performer/cda:assignedEntity/cda:representedOrganization">
+      <sch:assert id="a-3343-16592-warning" test="count(cda:id[@root='2.16.840.1.113883.4.2'])=1">This representedOrganization SHOULD contain zero or one [0..1] id (CONF:3343-16592) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.2" Tax ID Number (CONF:3343-16593).</sch:assert>
+      <sch:assert id="a-3343-16595-warning" test="count(cda:id[@root='2.16.840.1.113883.4.336'][@extension])=1">This representedOrganization SHOULD contain zero or one [0..1] id (CONF:3343-16595) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.336" Facility CMS Certification Number (CONF:3343-16596). SHALL contain exactly one [1..1] @extension (CONF:3343-16597).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Planned-Procedure-pattern-warnings">
+    <sch:rule id="Planned-Procedure-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.41'][@extension='2014-06-09']]">
+      <sch:assert id="a-1098-30447-warning" test="count(cda:effectiveTime)=1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30447).</sch:assert>
+      <sch:assert id="a1098-31979-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;=1">SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31979).</sch:assert>
+    </sch:rule>
+    <sch:rule id="Planned-Procedure-code-warnings" context="cda:procedure[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.41'][@extension='2014-06-09']]/cda:code">
+      <sch:assert id="a-1098-31977-warning" test="@codeSystem='2.16.840.1.113883.6.1' or @codeSystem='2.16.840.1.113883.6.96' or @codeSystem='2.16.840.1.113883.6.12' or @codeSystem='2.16.840.1.113883.6.4'">The procedure/code in a planned procedure SHOULD be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) *OR* SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and *MAY* be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) *OR* ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) (CONF:1098-31977).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="US-Realm-Date-and-Time-pattern-warnings">
+    <sch:rule id="US-Realm-Date-and-Time-effectiveTime-warnings" context="cda:effectiveTime[parent::cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]]              | cda:effectiveTime[parent::cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.24.1.3']]]             | cda:effectiveTime[parent::cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.27.1.1'][@extension='2016-09-01']]]">
+      <sch:assert id="a-81-10128-e-warning" test="string-length(@value)&gt;=12">SHOULD be precise to the minute (CONF:81-10128).</sch:assert>
+      <sch:assert id="a-81-10130-e-warning" test="string-length(@value)&lt;10 or ( string-length(@value)&gt;=10 and (contains(@value,'+') or contains(@value,'-')))">If more precise than day, SHOULD include time-zone offset (CONF:81-10130).</sch:assert>
+    </sch:rule>
+    <sch:rule id="US-Realm-Date-and-Time-warnings" context="cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:author/cda:time                                                               | cda:ClinicalDocument[cda:templateId[@root='2.16.840.1.113883.10.20.22.1.1']]/cda:legalAuthenticator/cda:time">
+      <sch:assert id="a-81-10128-t-warning" test="string-length(@value)&gt;=12">SHOULD be precise to the minute (CONF:81-10128).</sch:assert>
+      <sch:assert id="a-81-10130-t-warning" test="string-length(@value)&lt;10 or ( string-length(@value)&gt;=10 and (contains(@value,'+') or contains(@value,'-')))">If more precise than day, SHOULD include time-zone offset (CONF:81-10130).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Problem-Concern-Act-pattern-warnings">
+    <sch:rule id="Problem-Concern-Act-warnings" context="cda:act[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.3'][@extension='2015-08-01']]">
+      <sch:assert id="a-1198-31146-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']])&gt;= 1">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31146).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+  <sch:pattern id="Deceased-Observation-pattern-warnings">
+    <sch:rule id="Deceased-Observation-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.79']]">
+      <sch:assert id="a-1198-14868-warning" test="count(cda:entryRelationship[@typeCode='CAUS'][@inversionInd='true'] [count(cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.4'][@extension='2015-08-01']])=1])&lt;=1">SHOULD contain zero or one [0..1] entryRelationship (CONF:1198-14868) such that it SHALL contain exactly one [1..1] @typeCode="CAUS" Is etiology for (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-14875). SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-32900). SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-14870).</sch:assert>
+    </sch:rule>
+  </sch:pattern>
+</sch:schema>
diff --git a/Schematrons/HL7 QRDA Category I/STU 5/TestFiles/CDAR2_IG_QRDA_I_R1_STU5_2017DEC_Sample.xml b/Schematrons/HL7 QRDA Category I/STU 5/TestFiles/CDAR2_IG_QRDA_I_R1_STU5_2017DEC_Sample.xml
new file mode 100644
index 0000000..ba82e37
--- /dev/null
+++ b/Schematrons/HL7 QRDA Category I/STU 5/TestFiles/CDAR2_IG_QRDA_I_R1_STU5_2017DEC_Sample.xml	
@@ -0,0 +1,2759 @@
+<?xml version="1.0" encoding="utf-8"?>
+<?xml-stylesheet type="text/xsl" href="qrda.xsl"?> 
+  <!-- 		
+    Title: Quality Reporting Document Architecture Category I Release 2 STU Release 5 Sample  		 	 		 	
+  -->
+  <!-- 	 
+    This sample file contains an example of each Patient Data Section QDM contained template specified in the QRDA I STU 5 IG. 	 
+    This sample file contains no narrative. 	 
+    This sample file is not clinically valid - it is for use by implementers to see a valid (syntactically not clinically) example for each template. 	 
+    This sample file is informative only. 	
+    
+    Expected XML Validation results against POCD_MT000040_SDTC.xsd (POCD_MT000040.ClinicalDocument) and CDA_SDTC.xsd:
+        Total Expected XML Validation Errors: 0 
+   
+    Expected Schematron Validation results against schematron file "HL7 QRDA Category I STU 5 Dec2017.sch":
+        Total Errors Expected:   0
+        Total Warnings Expected: 118
+        
+  -->
+<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
+  xsi:schemaLocation="urn:hl7-org:v3 ../Schema/CDA/infrastructure/cda/CDA_SDTC.xsd"
+  xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
+  <realmCode code="US"/>
+  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+  <!-- US Realm Header (V3) -->
+  <templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01"/>
+  <!-- QRDA Category I Framework (V4) -->
+  <templateId root="2.16.840.1.113883.10.20.24.1.1" extension="2017-08-01"/>
+  <!-- QDM-Based QRDA (V5) -->
+  <templateId root="2.16.840.1.113883.10.20.24.1.2" extension="2017-08-01"/>
+  <!-- This is the globally unique identifier for this QRDA document -->
+  <id root="5b010313-eff2-432c-9909-6193d8416fac"/>
+  <!-- QRDA document type code -->
+  <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+    displayName="Quality Measure Report"/>
+  <title>QRDA Incidence Report</title>
+  <!-- This is the document creation time -->
+  <effectiveTime value="201512311230-0800"/>
+  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
+  <languageCode code="en"/>
+  <!-- reported patient -->
+  <recordTarget>
+    <patientRole>
+      <!-- This is the patient's Medical HIC number -->
+      <id extension="111223333A" root="2.16.840.1.113883.4.572"/>
+      <addr use="H">
+        <streetAddressLine>2222 Home Street</streetAddressLine>
+        <city>Burlington</city>
+        <state>MA</state>
+        <postalCode>02368</postalCode>
+        <country>US</country>
+      </addr>
+      <telecom use="HP" value="tel:(781)555-1212"/>
+      <patient>
+        <name>
+          <given>Eve</given>
+          <family>Everygirl</family>
+        </name>
+        <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/>
+        <birthTime value="20020201"/>
+        <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2"
+          codeSystemName="MaritalStatusCode"/>
+        <religiousAffiliationCode code="1013" codeSystem="2.16.840.1.113883.1.11.19185"
+          codeSystemName="HL7 Religious Affiliation "
+          displayName="Christian (non-Catholic, non-specific)"/>
+        <raceCode code="2106-3" codeSystem="2.16.840.1.114222.4.11.836" displayName="White"/>
+        <ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.114222.4.11.837"
+          displayName="Not Hispanic or Latino"/>
+        <languageCommunication>
+          <languageCode code="eng"/>
+          <!-- "eng" is ISO 639-2 alpha-3 code for "English" -->
+          <modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60"
+            codeSystemName="LanguageAbilityMode"/>
+          <proficiencyLevelCode code="G" displayName="Good" codeSystem="2.16.840.1.113883.5.61"
+            codeSystemName="LanguageAbilityProficiency"/>
+          <!-- Patient's preferred language -->
+          <preferenceInd value="true"/>
+        </languageCommunication>
+      </patient>
+    </patientRole>
+  </recordTarget>
+  <!-- Example of an author who is a person -->
+  <author>
+    <time value="20111231124411"/>
+    <assignedAuthor>
+      <id root="2.16.840.1.113883.4.6" extension="123456789"/>
+      <code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
+        displayName="Allopathic &amp; Osteopathic Physicians"/>
+      <addr use="WP">
+        <streetAddressLine>1020 Healthcare Drive</streetAddressLine>
+        <streetAddressLine>Suite 500</streetAddressLine>
+        <city>Burlington</city>
+        <state>MA</state>
+        <postalCode>02368</postalCode>
+        <country>US</country>
+      </addr>
+      <telecom use="WP" value="tel:(555)555-1003"/>
+      <!-- Quality Manager -->
+      <assignedPerson>
+        <name>
+          <given>Ann</given>
+          <family>Quality</family>
+          <suffix>RN</suffix>
+        </name>
+      </assignedPerson>
+    </assignedAuthor>
+  </author>
+  <!-- Example of an author who is a device -->
+  <author>
+    <time value="20050329224411"/>
+    <assignedAuthor>
+      <id extension="KP00017dev" root="2.16.840.1.113883.19.5"/>
+      <addr use="WP">
+        <streetAddressLine>21 North Ave.</streetAddressLine>
+        <city>Burlington</city>
+        <state>MA</state>
+        <postalCode>02368</postalCode>
+        <country>US</country>
+      </addr>
+      <telecom use="WP" value="tel:(555)555-1003"/>
+      <assignedAuthoringDevice>
+        <manufacturerModelName>Good Health Medical Device</manufacturerModelName>
+        <softwareName>Good Health Report Generator</softwareName>
+      </assignedAuthoringDevice>
+    </assignedAuthor>
+  </author>
+  <dataEnterer>
+    <assignedEntity>
+      <id extension="333777777" root="2.16.840.1.113883.4.6"/>
+      <addr>
+        <streetAddressLine>1007 Healthcare Drive</streetAddressLine>
+        <city>Portland</city>
+        <state>OR</state>
+        <postalCode>99123</postalCode>
+        <country>US</country>
+      </addr>
+      <telecom use="WP" value="tel:+1(555)555-1050"/>
+      <assignedPerson>
+        <name>
+          <given>Ellen</given>
+          <family>Enter</family>
+        </name>
+      </assignedPerson>
+    </assignedEntity>
+  </dataEnterer>
+  <custodian>
+    <assignedCustodian>
+      <representedCustodianOrganization>
+        <!-- National Provider Identifier -->
+        <id root="2.16.840.1.113883.4.6" extension="123456"/>
+        <!-- CMS Certification Number -->
+        <id root="2.16.840.1.113883.4.336" extension="1111111"/>
+        <!-- Tax ID Number -->
+        <id root="2.16.840.1.113883.4.2" extension="2222222"/>
+        <!-- Joint Commission's Health Care Organization (HCO) -->
+        <id root="1.3.6.1.4.1.33895" extension="3333333"/>
+        <name>Good Health Hospital</name>
+        <telecom use="WP" value="tel:(555)555-1003"/>
+        <addr use="WP">
+          <streetAddressLine>21 North Ave.</streetAddressLine>
+          <city>Burlington</city>
+          <state>MA</state>
+          <postalCode>02368</postalCode>
+          <country>US</country>
+        </addr>
+      </representedCustodianOrganization>
+    </assignedCustodian>
+  </custodian>
+  <informationRecipient>
+    <intendedRecipient>
+      <id root="2.16.840.1.113883.4.6" extension="111111111"/>
+      <informationRecipient>
+        <name>
+          <given>Sara</given>
+          <family>Specialize</family>
+          <suffix qualifier="AC">M.D.</suffix>
+        </name>
+      </informationRecipient>
+      <receivedOrganization>
+        <name>The DoctorsApart Physician Group</name>
+      </receivedOrganization>
+    </intendedRecipient>
+  </informationRecipient>
+  <participant typeCode="IND">
+    <!-- typeCode "IND" represents an individual -->
+    <associatedEntity classCode="NOK">
+      <!-- classCode "NOK" represents the patient's next of kin-->
+      <addr use="HP">
+        <streetAddressLine>2222 Home Street</streetAddressLine>
+        <city>Beaverton</city>
+        <state>OR</state>
+        <postalCode>97867</postalCode>
+        <country>US</country>
+      </addr>
+      <telecom value="tel:+1(555)555-2008" use="MC"/>
+      <associatedPerson>
+        <name>
+          <given>Boris</given>
+          <given qualifier="CL">Bo</given>
+          <family>Betterhalf</family>
+        </name>
+      </associatedPerson>
+    </associatedEntity>
+  </participant>
+  <!-- Entities playing multiple roles are recorded in multiple participants -->
+  <participant typeCode="IND">
+    <associatedEntity classCode="ECO">
+      <!-- classCode "ECON" represents an emergency contact -->
+      <addr use="HP">
+        <streetAddressLine>2222 Home Street</streetAddressLine>
+        <city>Beaverton</city>
+        <state>OR</state>
+        <postalCode>97867</postalCode>
+        <country>US</country>
+      </addr>
+      <telecom value="tel:+1(555)555-2008" use="MC"/>
+      <associatedPerson>
+        <name>
+          <given>Boris</given>
+          <given qualifier="CL">Bo</given>
+          <family>Betterhalf</family>
+        </name>
+      </associatedPerson>
+    </associatedEntity>
+  </participant>
+
+  <documentationOf typeCode="DOC">
+    <serviceEvent classCode="PCPR">
+      <!-- care provision -->
+      <effectiveTime>
+        <low value="20100601"/>
+        <high value="20100915"/>
+      </effectiveTime>
+      <!-- You can include multiple performers, each with an NPI, TIN, CCN. -->
+      <performer typeCode="PRF">
+        <time>
+          <low value="20020716"/>
+          <high value="20070915"/>
+        </time>
+        <assignedEntity>
+          <!-- This is the provider NPI -->
+          <id root="2.16.840.1.113883.4.6" extension="111111111"/>
+          <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101"
+            codeSystemName="Healthcare Provider Taxonomy"/>
+          <representedOrganization>
+            <!-- This is the organization TIN -->
+            <id root="2.16.840.1.113883.4.2" extension="1234567"/>
+            <!-- This is the organization CCN -->
+            <id root="2.16.840.1.113883.4.336" extension="54321"/>
+          </representedOrganization>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+  <!-- QRDA Body -->
+  <component>
+    <structuredBody>
+      <component>
+        <section>
+          <!-- 						 
+            ***************************************************************** 						 
+            Measure Section 						
+            ***************************************************************** 					 
+          -->
+          <!-- This is the templateId for Measure Section -->
+          <templateId root="2.16.840.1.113883.10.20.24.2.2"/>
+          <!-- This is the templateId for Measure Section QDM -->
+          <templateId root="2.16.840.1.113883.10.20.24.2.3"/>
+          <!-- This is the LOINC code for "Measure document". 
+            This stays the same for all measure section required by QRDA standard -->
+          <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+          <title>Measure Section</title>
+          <text>
+            <table border="1" width="100%">
+              <thead>
+                <tr>
+                  <th>eMeasure Title</th>
+                  <th>Version neutral identifier</th>
+                  <th>NQF eMeasure Number</th>
+                  <th>eMeasure Identifier (MAT)</th>
+                  <th>Version specific identifier</th>
+                </tr>
+              </thead>
+              <tbody>
+                <tr>
+                  <td>Children's Asthma Care (CAC-1) Relievers for Inpatient Asthma</td>
+                  <td>dc78ee5d-1487-4d79-84c3-1dfdaff0781c</td>
+                  <td>0143</td>
+                  <td>93</td>
+                  <td>8a4d92b2-373f-82e2-0137-7b9e21cc5c8f</td>
+                </tr>
+              </tbody>
+              <tbody>
+                <tr>
+                  <td>Children's Asthma Care (CAC-2) Systemic Corticosteroids for Inpatient
+                    Asthma</td>
+                  <td>d7c71959-3991-457c-b8ea-774238c87248</td>
+                  <td>0144</td>
+                  <td>106</td>
+                  <td>8a4d92b2-373f-82e2-0137-baed84f55f93</td>
+                </tr>
+              </tbody>
+            </table>
+          </text>
+          <!-- 1..* Organizers, each containing a reference to an eMeasure -->
+          <entry>
+            <organizer classCode="CLUSTER" moodCode="EVN">
+              <!-- This is the templateId for Measure Reference -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
+              <!-- This is the templateId for eMeasure Reference QDM -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.97"/>
+              <id root="600be61c-cdd4-4902-945f-a768d1de404e"/>
+              <statusCode code="completed"/>
+              <!-- Containing isBranch external references -->
+              <reference typeCode="REFR">
+                <externalDocument classCode="DOC" moodCode="EVN">
+                  <!-- This is the version specific identifier for the eMeasure -->
+                  <id root="2.16.840.1.113883.4.738" extension="12345"/>
+                  <!-- SHOULD: This is the NQF Number, root is an NQF OID and 
+                    for eMeasure Number and extension is the eMeasure's NQF number -->
+                  <id root="2.16.840.1.113883.3.560.1" extension="0143"/>
+                  <!-- SHOULD: eMeasure Measure Authoring Tool Identifier (not the real root yet-->
+                  <id root="2.16.840.1.113883.3.560.101.2" extension="93"/>
+                  <code code="57024-2" displayName="Health Quality Mesaure Document"
+                    codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
+                  <!-- SHOULD This is the title of the eMeasure -->
+                  <text>Children's Asthma Care (CAC-2) Systemic Corticosteroids for Inpatient
+                    Asthma</text>
+                  <!-- SHOULD: setId is the eMeasure version neutral id -->
+                  <setId root="dc78ee5d-1487-4d79-84c3-1dfdaff0781c"/>
+                  <!-- This is the sequential eMeasure Version number -->
+                </externalDocument>
+              </reference>
+            </organizer>
+          </entry>
+          <entry>
+            <organizer classCode="CLUSTER" moodCode="EVN">
+              <!-- This is the templateId for Measure Reference -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
+              <!-- This is the templateId for eMeasure Reference QDM -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.97"/>
+              <id root="a8180d5c-a918-494d-a2a1-e2b546167eb5"/>
+              <statusCode code="completed"/>
+              <!-- Containing isBranch external references -->
+              <reference typeCode="REFR">
+                <externalDocument classCode="DOC" moodCode="EVN">
+                  <!-- This is the version specific identifier for the eMeasure -->
+                  <id root="2.16.840.1.113883.4.738" extension="22222"/>
+                  <!-- SHOULD: This is the NQF Number, root is an NQF OID and for eMeasure Number and 
+                    extension is the eMeasure's NQF number -->
+                  <id root="2.16.840.1.113883.3.560.1" extension="0144"/>
+                  <!-- SHOULD: eMeasure Measure Authoring Tool Identifier (not the real root yet-->
+                  <id root="2.16.840.1.113883.3.560.101.2" extension="106"/>
+                  <code code="57024-2" displayName="Health Quality Mesaure Document"
+                    codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
+                  <!-- SHOULD This is the title of the eMeasure -->
+                  <text>Children's Asthma Care (CAC-1) Relievers for Inpatient Asthma</text>
+                  <!-- SHOULD: setId is the eMeasure version neutral id -->
+                  <setId root="d7c71959-3991-457c-b8ea-774238c87248"/>
+                  <!-- This is the sequential eMeasure Version number -->
+                </externalDocument>
+              </reference>
+            </organizer>
+          </entry>
+        </section>
+      </component>
+      <!-- 				 
+        ***************************************************************** 				 
+        Reporting Parameters Section 				 
+        ***************************************************************** 			 
+      -->
+      <component>
+        <section>
+          <!-- This is the templateId for Reporting Parameters section -->
+          <templateId root="2.16.840.1.113883.10.20.17.2.1"/>
+          <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+          <title>Reporting Parameters</title>
+          <text>
+            <list>
+              <item>Reporting period: 01 Jan 2015 - 31 Dec 2015</item>
+            </list>
+          </text>
+          <entry typeCode="DRIV">
+            <act classCode="ACT" moodCode="EVN">
+              <!-- This is the templateId for Reporting Parameters Act -->
+              <templateId root="2.16.840.1.113883.10.20.17.3.8"/>
+              <id root="3d7c11cf-b01b-4527-a704-c098c162779d"/>
+              <code code="252116004" codeSystem="2.16.840.1.113883.6.96"
+                displayName="Observation Parameters"/>
+              <effectiveTime>
+                <low value="20150101"/>
+                <high value="20151231"/>
+              </effectiveTime>
+            </act>
+          </entry>
+        </section>
+      </component>
+      <!-- 				 
+        ***************************************************************** 				 
+        Patient Data Section QDM (V5) 				 
+        ***************************************************************** 			 
+      -->
+      <component>
+        <section>
+          <!-- Patient Data Section -->
+          <templateId root="2.16.840.1.113883.10.20.17.2.4"/>
+          <!-- Patient Data Section QDM (V4) -->
+          <templateId root="2.16.840.1.113883.10.20.24.2.1" extension="2017-08-01"/>
+          <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+          <title>Patient Data</title>
+          <text/>
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Adverse Event -->
+          <!-- =============================================== -->
+          <entry>
+            <!-- Adverse Event -->
+            <observation classCode="OBS" moodCode="EVN">
+              <templateId root="2.16.840.1.113883.10.20.24.3.146" extension="2017-08-01"/>
+              <id root="508d3dc6-4883-480c-bf03-419daed0b02f"/>
+              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" displayName="Assertion"/>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attribute: Relevant Period - startTime -->
+                <low value="201702021030"/>
+                <!-- QDM Attribute: Relevant Period - stopTime -->
+                <high value="201702021030"/>
+              </effectiveTime>
+              <value xsi:type="CD" code="281647001" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="Adverse reaction"/>
+              <participant typeCode="LOC">
+                <!-- Facility Location (V2) -->
+                <templateId root="2.16.840.1.113883.10.20.24.3.100" extension="2017-08-01"/>
+                <time>
+                  <!-- QDM Attribute: Location Period -->
+                  <low value="20170202"/>
+                  <high value="20170202"/>
+                </time>
+                <participantRole classCode="SDLOC">
+                  <code code="309905000" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Adult Intensive Care Unit"/>
+                </participantRole>
+              </participant>
+              <!-- QDM Attribute: Code -->
+              <entryRelationship typeCode="CAUS" inversionInd="true">
+                <!-- Adverse Event Cause Assertion Observation -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.148" extension="2017-08-01"/>
+                  <id root="2fbe77d3-0093-4ea3-bd78-b280f91fd765"/>
+                  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" displayName="Assertion"/>
+                  <value xsi:type="CD" code="444179007" codeSystem="2.16.840.1.113883.6.96" 
+                    displayName="Insertion of dual chamber pacemaker pulse generator (procedure)"/>
+                </observation>
+              </entryRelationship>
+            </observation>          </entry>
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Allergy Intolerance -->
+          <!-- =============================================== -->
+          <entry>
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Conforms to C-CDA R2.1 Substance or Device Allergy - Intolerance Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.90" extension="2014-06-09"/>
+              <!-- Allergy Intolerance -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.147" extension="2017-08-01"/>
+              <id root="901db0f8-9355-4794-81cd-fd951efe7817"/>
+              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attribute: Relevant Period - onset date -->
+                <low value="20170101"/>
+                <!-- QDM Attribute: Relevant Period - abatement date -->
+                <high nullFlavor="UNK"/>
+              </effectiveTime>
+              <value xsi:type="CD" code="419199007" displayName="Allergy to substance"
+                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+              <participant typeCode="CSM">
+                <participantRole classCode="MANU">
+                  <playingEntity classCode="MMAT">
+                    <!-- Medication -->
+                    <code code="105152" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"
+                      displayName="Amoxicillin 60 MG/ML Oral Suspension"/>
+                  </playingEntity>
+                </participantRole>
+              </participant>
+              <!-- QDM Attribute: Reaction -->
+              <entryRelationship typeCode="MFST" inversionInd="true">
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- CDA R2.1 Reaction Observation (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09"/>
+                  <id root="80aed311-8af7-401f-ab7f-727260d2b033"/>
+                  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"
+                    displayName="Assertion"/>
+                  <statusCode code="completed"/>
+                  <value xsi:type="CD" code="404684003" displayName="Nausea"
+                    codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Care Experience -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Patient Care Experience -->
+          <entry typeCode="DRIV">
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Patient Care Experience (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.48" extension="2017-08-01"/>
+              <id root="ee6d068d-f209-4913-b999-9efa74358914"/>
+              <code code="77218-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                displayName="Patient satisfaction with healthcare delivery"/>
+              <statusCode code="completed"/>
+              <value xsi:type="CD" code="185481008" displayName="Dissatisfied with doctor (finding)"
+                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="2017050101030"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>              
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Provider Care Experience -->
+          <entry typeCode="DRIV">
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Provider Care Experience (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.67" extension="2017-08-01"/>
+              <id root="ffa71406-ab33-4325-822e-0f0b1a4ebb6f"/>
+              <code code="77219-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                displayName="Provider satisfaction with healthcare delivery"/>
+              <statusCode code="completed"/>
+              <value xsi:type="CD" code="445060000"
+                displayName="Left against medical advice (finding)"
+                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="2017050101030"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>              
+            </observation>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Care Goal -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Care Goal -->
+          <entry>
+            <observation classCode="OBS" moodCode="GOL">
+              <templateId root="2.16.840.1.113883.10.20.22.4.121" />
+              <id root="3700b3b0-fbed-11e2-b778-0800200c9a66" />
+              <code code="59408-5" 
+                codeSystem="2.16.840.1.113883.6.1" 
+                codeSystemName="LOINC" 
+                displayName="Oxygen saturation in Arterial blood by Pulse oximetry" />
+              <statusCode code="active" />
+              <effectiveTime value="20130902" />
+              <value xsi:type="IVL_PQ">
+                <low value="92" unit="%" />
+              </value>
+              <!--
+              If the author is set to the recordTarget (patient), this is a patient goal.  
+              If the author is set to a provider, this is a provider goal. 
+              If both patient and provider are set as authors, this is a negotiated goal.
+              -->
+              <!-- Provider Author -->
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.22.4.119" />
+                <time value="201708081130" />
+                <assignedAuthor>
+                  <id root="2.16.840.1.113883.4.6" extension="111111111" />
+                </assignedAuthor>
+              </author>
+              <!-- Patient Author -->
+              <author typeCode="AUT">
+                <templateId root="2.16.840.1.113883.10.20.22.4.119" />
+                <time value="201708081130" />
+                <assignedAuthor>
+                  <id root="2.16.840.1.113883.4.6" extension="111111111" />
+                </assignedAuthor>
+              </author>
+              <!-- This entryRelationship represents the relationship "Goal REFERS TO Health Concern" -->
+              <entryRelationship typeCode="REFR">
+                <!-- Entry Reference Concern Act -->
+                <act classCode="ACT" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.4.122" />
+                  <!-- This id points to an already defined Health Concern in the Health Concerns Section -->
+                  <id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c" />
+                  <!-- The code is nulled to "NP" Not Present" -->
+                  <code nullFlavor="NP" />
+                  <statusCode code="completed" />
+                </act>
+              </entryRelationship>
+              <!-- Priority Preference -->
+              <entryRelationship typeCode="RSON">
+                <!-- Priority Preference - this is the preference that the patient (specified by the Author Participation template)
+                  places on the Goal -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.4.143" />
+                  <id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/>
+                  <code code="225773000" codeSystem="2.16.840.1.113883.6.96" />
+                  <value xsi:type="CD" code="394849002" displayName="High priority"
+                    codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"
+                    sdtc:valueSet="2.16.840.1.113883.11.20.9.60" />
+                </observation>
+              </entryRelationship>
+              <!--  Priority Preference - this is the preference that the provider 
+              (specified by the Author Participation template)
+               places on the Goal -->
+              <entryRelationship typeCode="RSON">
+                <!--  Priority Preference -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.4.143" />
+                  <id root="d42ebf70-5c89-11db-b0de-0800200c9a75"/>
+                  <code code="225773000" codeSystem="2.16.840.1.113883.6.96" />
+                  <value xsi:type="CD" code="394849002" displayName="High priority"
+                    codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"
+                    sdtc:valueSet="2.16.840.1.113883.11.20.9.60" />
+                </observation>
+              </entryRelationship>
+            </observation>          
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Communication -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Communication from Provider to Patient -->
+          <entry>
+            <!-- Communication from Provider to Patient (V4) -->
+            <act classCode="ACT" moodCode="EVN">
+              <templateId root="2.16.840.1.113883.10.20.24.3.3" extension="2017-08-01"/>
+              <id root="e4f3f0f7-cc24-4f2a-8c5f-097dde3d7afa"/>
+              <code code="428521000124106" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT"
+                displayName="Patient informed - arrange follow-up care (situation)"/>
+              <statusCode code="completed"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="2017050101030"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>              
+              <participant typeCode="AUT">
+                <participantRole classCode="ASSIGNED">
+                  <code code="158965000" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+                </participantRole>
+              </participant>
+              <participant typeCode="IRCP">
+                <participantRole classCode="PAT"/>
+              </participant>
+              <!-- QDM Attribute: Related to -->
+              <sdtc:inFulfillmentOf1 typeCode="FLFS">
+                <sdtc:templateId root="2.16.840.1.113883.10.20.24.3.150" extension="2017-08-01"/>
+                <sdtc:actReference classCode="SPLY" moodCode="RQO">
+                  <!-- For example, the id is the same as the id of another QDM element instance contained in the same QRDA I document being referenced -->
+                  <sdtc:id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+                </sdtc:actReference>
+              </sdtc:inFulfillmentOf1>
+            </act>
+          </entry>
+
+          <!-- QDM Datatype: Communication from Patient to Provider -->
+          <entry>
+            <!-- Communication from Patient to Provider (V4) -->
+            <act classCode="ACT" moodCode="EVN">
+              <templateId root="2.16.840.1.113883.10.20.24.3.2" extension="2017-08-01"/>
+              <id root="2d5075da-2ffc-47a9-a350-4a24e6b052d1"/>
+              <code code="401270003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"
+                displayName="E-mail received from patient (event)"/>
+              <statusCode code="completed"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="2017050101030"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>              
+              <participant typeCode="AUT">
+                <participantRole classCode="PAT">
+                  <code code="116154003" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Patient"/>
+                </participantRole>
+              </participant>
+              <participant typeCode="IRCP">
+                <participantRole classCode="ASSIGNED">
+                  <code code="158965000" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+                </participantRole>
+              </participant>
+              <!-- QDM Attribute: Related to -->
+              <sdtc:inFulfillmentOf1 typeCode="FLFS">
+                <sdtc:templateId root="2.16.840.1.113883.10.20.24.3.150" extension="2017-08-01"/>
+                <sdtc:actReference classCode="SPLY" moodCode="RQO">
+                  <!-- For example, the id is the same as the id of another QDM element instance contained in the same QRDA I document being referenced -->
+                  <sdtc:id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+                </sdtc:actReference>
+              </sdtc:inFulfillmentOf1>
+            </act>
+          </entry>
+
+          <!-- QDM Datatype: Communication from Provider to Provider -->
+          <entry>
+            <!-- Communication from Provider to Provider (V4) -->
+            <act classCode="ACT" moodCode="EVN">
+              <templateId root="2.16.840.1.113883.10.20.24.3.4" extension="2017-08-01"/>
+              <id root="2d5075da-2ffc-47a9-a350-4a24e6b052d1"/>
+              <code code="371530004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"
+                displayName="Clinical consultation report (record artifact)"/>
+              <statusCode code="completed"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="2017050101030"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>              
+              <participant typeCode="AUT">
+                <participantRole classCode="ASSIGNED">
+                  <code code="158965000" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+                </participantRole>
+              </participant>
+              <participant typeCode="IRCP">
+                <participantRole classCode="ASSIGNED">
+                  <code code="158965000" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+                </participantRole>
+              </participant>
+              <!-- QDM Attribute: Related to -->
+              <sdtc:inFulfillmentOf1 typeCode="FLFS">
+                <sdtc:templateId root="2.16.840.1.113883.10.20.24.3.150" extension="2017-08-01"/>
+                <sdtc:actReference classCode="SPLY" moodCode="RQO">
+                  <!-- For example, the id is the same as the id of another QDM element instance contained in the same QRDA I document being referenced -->
+                  <sdtc:id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+                </sdtc:actReference>
+              </sdtc:inFulfillmentOf1>
+            </act>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Condition/Diagnosis/Problem -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Diagnosis -->
+          <entry>
+            <act classCode="ACT" moodCode="EVN">
+              <!-- Conforms to C-CDA 2.1 Problem Concern Act (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/>
+              <!-- Diagnosis Concern Act (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.137" extension="2017-08-01"/>
+              <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
+              <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern"/>
+              <!-- The statusCode represents whether this is an active (active) or resolved (completed) diagnosis -->
+              <statusCode code="active"/>
+              <!-- This is the time that the diagnosis is authored in the patient's chart -->
+              <effectiveTime>
+                <!-- (equivalent to author/time in the contained observation) -->
+                <low value="201504081130"/>
+              </effectiveTime>
+              <entryRelationship typeCode="SUBJ">
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- Conforms to C-CDA R2.1 Problem Observation (V3) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
+                  <!-- Diagnosis (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.135" extension="2017-08-01"/>
+                  <id root="e5d9e01e-d778-40ba-9bd0-351d0222b26c"/>
+                  <code code="29308-4" displayName="diagnosis" codeSystem="2.16.840.1.113883.6.1"
+                    codeSystemName="LOINC">
+                    <translation code="282291009" displayName="diagnosis"
+                      codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+                  </code>
+                  <statusCode code="completed"/>
+                  <effectiveTime>
+                    <!-- Onset Datetime -->
+                    <low value="20170101090000"/>
+                    <!-- Abatement Datetime -->
+                    <high value="20170801090000"/>
+                  </effectiveTime>
+                  <value xsi:type="CD" code="25907005" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED-CT" displayName="Diabetic gangrene (disorder)"/>
+                  <!-- QDM Attribute Anatomical Location Site -->
+                  <targetSiteCode code="56459004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="foot"/>
+                  <!-- QDM Attribute: Reason -->
+                  <entryRelationship typeCode="RSON">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                      <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                        displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                      <statusCode code="completed"/>
+                      <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                        codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                    </observation>
+                  </entryRelationship>
+                  <!-- QDM Attribute: Severity -->
+                  <entryRelationship typeCode="REFR">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
+                       <code code="SEV" displayName="Severity Observation"
+                        codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
+                      <statusCode code="completed"/>
+                      <value xsi:type="CD" code="24484000" displayName="Severe"
+                        codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+                    </observation>
+                  </entryRelationship>
+                </observation>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Family History -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Family History -->
+          <entry typeCode="DRIV">
+            <organizer moodCode="EVN" classCode="CLUSTER">
+              <!-- C-CDA R2.1 Family History Organizer (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.45" extension="2015-08-01"/>
+              <!-- Family History Organizer QDM (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.12" extension="2017-08-01"/>
+              <id root="2cc2566e-4e7f-4820-817e-31912a61ea1a"/>
+              <statusCode code="completed"/>
+              <!-- Subject of the contained Diagnosis Family History template(s) -->
+              <subject>
+                <relatedSubject classCode="PRS">
+                  <code code="FTH" displayName="Father" codeSystemName="HL7RoleCode"
+                    codeSystem="2.16.840.1.113883.5.111"/>
+                </relatedSubject>
+              </subject>
+              <component>
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- Conforms to C-CDA R2.1 Family History Observation (V3) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.46" extension="2015-08-01"/>
+                  <!-- Family History QDM (V3) -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.112" extension="2017-08-01"/>
+                  <id root="d42ebf70-5c89-11db-b0de-0800200c9a66"/>
+                  <code code="75323-6" displayName="Condition" codeSystemName="LOINC"
+                    codeSystem="2.16.840.1.113883.6.1">
+                    <translation code="64572001" displayName="Condition" codeSystemName="SNOMED CT"
+                      codeSystem="2.16.840.1.113883.6.96"/>
+                  </code>
+                  <statusCode code="completed"/>
+                  <!-- Diagnosis/Condition/Problem -->
+                  <value xsi:type="CD" code="22298006" codeSystem="2.16.840.1.113883.6.96"
+                    displayName="Myocardial infarction"/>
+                  <author>
+                    <time value="2017020101030"/>
+                    <assignedAuthor>
+                      <id nullFlavor="NA"/>
+                    </assignedAuthor>
+                  </author>
+                </observation>
+              </component>
+            </organizer>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Device -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Device, Applied -->
+          <entry>
+            <procedure classCode="PROC" moodCode="EVN">
+              <!-- Conforms to C-CDA R2.1 Procedure Activity Procedure (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
+              <!-- Device Applied (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.7" extension="2017-08-01"/>
+              <id root="20ebe7a7-a493-447d-922b-5d98fa8b96da"/>
+              <code code="360030002" displayName="application of device"
+                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"/>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attribute: Relevant Period - Start dateTime -->
+                <low value="20170101"/>
+                <!-- QDM Attribute: Relevant Period - Stop dateTime -->
+                <high value="20170601"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Anatomical Approach Site -->
+              <approachSiteCode code="14742008" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="large intestinal structure"/>
+              <!-- QDM Attribute: Anatomical Location Site -->
+              <targetSiteCode code="71854001" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="colon"/>
+              <participant typeCode="DEV">
+                <participantRole classCode="MANU">
+                  <playingDevice classCode="DEV">
+                    <!-- Device -->
+                    <code code="401608003" codeSystem="2.16.840.1.113883.6.96"
+                      codeSystemName="SNOMED-CT" displayName="Suprapubic catheter (physical object)"
+                    />
+                  </playingDevice>
+                </participantRole>
+              </participant>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                </observation>
+              </entryRelationship>
+              <!-- This Device, Applied procedure is in fulfillment of a Device, Order defined elsewhere in the CDA XML -->
+              <sdtc:inFulfillmentOf1 typeCode="FLFS">
+                <sdtc:templateId root="2.16.840.1.113883.10.20.24.3.126" extension="2016-08-01"/>
+                <!-- The classCode and moodCode are the same as the classCode and moodCode of the Device, Order we are referencing -->
+                <sdtc:actReference classCode="SPLY" moodCode="RQO">
+                  <!-- The id is the same as the id of the Device, Order we are referencing -->
+                  <sdtc:id root="6a8d037d-f144-4071-9d1f-8a92a11dedc6"/>
+                </sdtc:actReference>
+              </sdtc:inFulfillmentOf1>
+            </procedure>
+          </entry>
+
+          <!-- QDM Datatype: Device, Order -->
+          <entry>
+            <!-- Device Order Act (V2) -->
+            <act classCode="ACT" moodCode="RQO">
+              <templateId root="2.16.840.1.113883.10.20.24.3.130" extension="2017-08-01"/>
+              <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
+              <code code="SPLY" codeSystem="2.16.840.1.113883.5.6" displayName="Supply"
+                codeSystemName="ActClass"/>
+              <entryRelationship typeCode="SUBJ">
+                <supply classCode="SPLY" moodCode="RQO">
+                  <!-- Conforms to C-CDA R2.1 Planned Supply (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.43" extension="2014-06-09"/>
+                  <!-- Device Order (V4) -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.9" extension="2017-08-01"/>
+                  <id root="6a8d037d-f144-4071-9d1f-8a92a11dedc6"/>
+                  <statusCode code="active"/>
+                  <author>
+                    <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                    <time value="201610101030"/>
+                    <assignedAuthor>
+                      <id nullFlavor="NA"/>
+                    </assignedAuthor>
+                  </author>                  
+                  <participant typeCode="DEV">
+                    <participantRole classCode="MANU">
+                      <playingDevice classCode="DEV">
+                        <!-- Device -->
+                        <code code="401608003" codeSystem="2.16.840.1.113883.6.96"
+                          codeSystemName="SNOMED-CT"
+                          displayName="Suprapubic catheter (physical object)"/>
+                      </playingDevice>
+                    </participantRole>
+                  </participant>
+                  <!-- QDM Attribute: Reason -->
+                  <entryRelationship typeCode="RSON">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                      <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                        displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                      <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                        codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                    </observation>
+                  </entryRelationship>
+                </supply>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- QDM Datatype: Device, Recommended -->
+          <entry>
+            <!-- Device Recommended Act (V2)-->
+            <act classCode="ACT" moodCode="INT">
+              <templateId root="2.16.840.1.113883.10.20.24.3.131" extension="2017-08-01"/>
+              <code code="SPLY" codeSystem="2.16.840.1.113883.5.6" displayName="Supply"
+                codeSystemName="ActClass"/>
+              <entryRelationship typeCode="SUBJ">
+                <supply classCode="SPLY" moodCode="INT">
+                  <!-- C-CDA R2.1 : Planned Supply (V2)  -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.43" extension="2014-06-09"/>
+                  <!-- Device Recommended (V4) -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.10" extension="2017-08-01"/>
+                  <id root="6a8d037d-f144-4071-9d1f-8a92a11dedc6"/>
+                  <statusCode code="active"/>
+                  <author>
+                    <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                    <time value="201705101030"/>
+                    <assignedAuthor>
+                      <id nullFlavor="NA"/>
+                    </assignedAuthor>
+                  </author>                    
+                  <participant typeCode="DEV">
+                    <participantRole classCode="MANU">
+                      <playingDevice classCode="DEV">
+                        <!-- Device -->
+                        <code code="401608003" codeSystem="2.16.840.1.113883.6.96"
+                          codeSystemName="SNOMED-CT"
+                          displayName="Suprapubic catheter (physical object)"/>
+                      </playingDevice>
+                    </participantRole>
+                  </participant>
+                  <!-- QDM Attribute: Reason -->
+                  <entryRelationship typeCode="RSON">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                      <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                        displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                      <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                        codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                    </observation>
+                  </entryRelationship>
+                </supply>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Diagnostic Study -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Diagnostic Study, Order -->
+          <entry>
+            <observation classCode="OBS" moodCode="RQO">
+              <!-- Conforms to C-CDA R2.1 Planned Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+              <!-- Diagnostic Study Order (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.17" extension="2017-08-01"/>
+              <id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+              <code code="24605-8" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Breast Mammogram diagnostic" codeSystemName="LOINC"/>
+              <text>Diagnostic Study, Order: Breast Mammogram Diagnostic</text>
+              <statusCode code="active"/>
+              <value xsi:type="CD" nullFlavor="NA"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="24605-8" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Breast Mammogram diagnostic" codeSystemName="LOINC"/>
+              <!-- author/time indicates the time the diagnostic order was signed -->
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201705101030"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>               
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="254838004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Carcinoma of breast"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <entry>
+            <!-- QDM Datatype: Diagnostic Study, Performed -->
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Conforms to C-CDA R2.1 Procedure Activity Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.13" extension="2014-06-09"/>
+              <!-- Diagnostic Study Performed (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.18" extension="2017-08-01"/>
+              <id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+              <code code="24605-8" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Breast Mammogram diagnostic" codeSystemName="LOINC"/>
+              <text>Diagnostic Study, Performed: Breast Mammogram Diagnostic</text>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attribute: Relevant Period - Start dateTime -->
+                <low value="20170329090000"/>
+                <!-- QDM Attribute: Relevant Period - Stop dateTime -->
+                <high value="20170329103000"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Result -->
+              <value xsi:type="CD" nullFlavor="NA"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="24623002" codeSystem="2.16.840.1.113883.6.96"
+                displayName="Screening mammography" codeSystemName="SNOMED CT"/>
+              <!-- QDM Attribute: Facility Location -->
+              <participant typeCode="LOC">
+                <templateId root="2.16.840.1.113883.10.20.24.3.100" extension="2018-07-01"/>
+                <time>
+                  <low value="20170329"/>
+                </time>
+                <participantRole classCode="SDLOC">
+                  <code code="309905000" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Adult Intensive Care Unit"/>
+                  <addr>
+                    <streetAddressLine>17 Daws Rd.</streetAddressLine>
+                    <city>Blue Bell</city>
+                    <state>MA</state>
+                    <postalCode>02368</postalCode>
+                    <country>US</country>
+                  </addr>
+                  <telecom use="WP" value="tel:(555)555-1003"/>
+                  <playingEntity classCode="PLC">
+                    <name>Good Health Clinic</name>
+                  </playingEntity>
+                </participantRole>
+              </participant>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="254838004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Carcinoma of breast"/>
+                </observation>
+              </entryRelationship>
+              <entryRelationship typeCode="REFR">
+                <!-- QDM Attribute: Status -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- Status -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.93"/>
+                  <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                    displayName="Status"/>
+                  <value xsi:type="CD" code="445665009" displayName="Final Report"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Diagnostic Study, Recommended -->
+          <entry>
+            <observation classCode="OBS" moodCode="INT">
+              <!-- Conforms to C-CDA R2.1 Planned Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+              <!-- Diagnostic Study Recommended (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.19" extension="2017-08-01"/>
+              <id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+              <code code="24605-8" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Breast Mammogram diagnostic" codeSystemName="LOINC"/>
+              <text>Diagnostic Study, Recommended: Breast Mammogram Diagnostic</text>
+              <statusCode code="active"/>
+              <value xsi:type="CD" nullFlavor="NA"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="24605-8" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Breast Mammogram diagnostic" codeSystemName="LOINC"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>               
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="254838004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Carcinoma of breast"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Encounter -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Encounter, Order -->
+          <entry>
+            <act classCode="ACT" moodCode="RQO">
+              <!-- Encounter Order Act (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.132" extension="2017-08-01"/>
+              <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
+              <code code="ENC" codeSystem="2.16.840.1.113883.5.6" displayName="Encounter"
+                codeSystemName="ActClass"/>
+              <entryRelationship typeCode="SUBJ">
+                <encounter classCode="ENC" moodCode="RQO">
+                  <!-- Conforms to C-CDA R2.1 Planned Encounter (V2) template -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.40" extension="2014-06-09"/>
+                  <!-- Encounter Order (V4) template -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.22" extension="2017-08-01"/>
+                  <id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
+                  <code code="185349003" displayName="encounter for check-up (procedure)"
+                    codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
+                  <text>Encounter for check-up (procedure)</text>
+                  <statusCode code="active"/>
+                  <author>
+                    <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                    <time value="201704081130"/>
+                    <assignedAuthor>
+                      <id nullFlavor="NA"/>
+                    </assignedAuthor>
+                  </author>                    
+                  <participant typeCode="LOC">
+                    <participantRole classCode="SDLOC">
+                      <code code="31628002" codeSystem="2.16.840.1.113883.6.96"
+                        codeSystemName="SNOMED CT"
+                        displayName="Hospital-based outpatient family medicine clinic (environment)"/>
+                      <addr>
+                        <streetAddressLine>17 Daws Rd.</streetAddressLine>
+                        <city>Blue Bell</city>
+                        <state>MA</state>
+                        <postalCode>02368</postalCode>
+                        <country>US</country>
+                      </addr>
+                      <telecom use="WP" value="tel:(555)555-1003"/>
+                      <playingEntity classCode="PLC">
+                        <name>Good Health Clinic</name>
+                      </playingEntity>
+                    </participantRole>
+                  </participant>
+                  <!-- QDM Attribute: Reason -->
+                  <entryRelationship typeCode="RSON">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                      <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                        displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                      <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                        codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                    </observation>
+                  </entryRelationship>
+                </encounter>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- QDM Datatype: Encounter, Performed -->
+          <entry>
+            <act classCode="ACT" moodCode="EVN">
+              <!--Encounter performed Act (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.133" extension="2017-08-01"/>
+              <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
+              <code code="ENC" codeSystem="2.16.840.1.113883.5.6" displayName="Encounter"
+                codeSystemName="ActClass"/>
+              <entryRelationship typeCode="SUBJ">
+                <encounter classCode="ENC" moodCode="EVN">
+                  <!-- Conforms to C-CDA R2.1 Encounter Activity (V3) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01"/>
+                  <!-- Encounter Performed (V4) templateId-->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.23" extension="2017-08-01"/>
+                  <id root="12345678-9d11-439e-92b3-5d9815ff4de1"/>
+                  <code code="4525004" displayName="Emergency Department visit"
+                    codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+                  <text>Encounter, Performed: Emergency Department Visit</text>
+                  <statusCode code="completed"/>
+                  <effectiveTime>
+                    <!-- QDM Attribute: Relevant Period - admission datetime -->
+                    <low value="20170301090000"/>
+                    <!-- QDM Attribute: Relevant Period - discharge datetime -->
+                    <high value="20170301130000"/>
+                  </effectiveTime>
+                  <!-- QDM Attribute: Principal Dianosis -->
+                  <entryRelationship typeCode="REFR">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <templateId root="2.16.840.1.113883.10.20.24.3.152" extension="2017-08-01"/>
+                      <id root="92587992-6147-467e-8ce7-b080ef569df4"/>
+                      <code code="8319008" codeSystem="2.16.840.1.113883.6.96"
+                        displayName="Principal Diagnosis" codeSystemName="SNOMED"/>
+                      <effectiveTime>
+                        <low value="20170301"/>
+                      </effectiveTime>
+                      <value xsi:type="CD" code="8319008" codeSystem="2.16.840.1.113883.6.96"
+                        codeSystemName="SNOMED CT" displayName="Acute atrial infarction (disorder)"
+                      />
+                    </observation>
+                  </entryRelationship>
+                </encounter>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- QDM Datatype: Encounter, Performed -->
+          <entry>
+            <act classCode="ACT" moodCode="EVN">
+              <!--Encounter performed Act -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.133"/>
+              <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
+              <code code="ENC" codeSystem="2.16.840.1.113883.5.6" displayName="Encounter"
+                codeSystemName="ActClass"/>
+              <entryRelationship typeCode="SUBJ">
+                <!--Encounter Performed: Inpatient Encounter-->
+                <encounter classCode="ENC" moodCode="EVN">
+                  <!-- Conforms to C-CDA R2.1 Encounter Activity (V3) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01"/>
+                  <!-- Encounter Performed (V3) templateId-->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.23" extension="2016-02-01"/>
+                  <id root="dccf424e-18dd-4058-887f-a81514eaaa55"/>
+                  <code code="32485007" displayName="hospital admission"
+                    codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"
+                    sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.23"/>
+                  <text>Encounter, Performed: hospital admission</text>
+                  <statusCode code="completed"/>
+                  <effectiveTime>
+                    <!-- QDM Attribute: admission datetime -->
+                    <low value="20150301090000"/>
+                    <!-- QDM Attribute: discharge datetime -->
+                    <high value="20150303103000"/>
+                  </effectiveTime>
+                </encounter>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- QDM Datatype: Encounter, Recommended -->
+          <entry>
+            <act classCode="ACT" moodCode="INT">
+              <!--Encounter Recommended Act -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.134" extension="2017-08-01"/>
+              <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
+              <code code="ENC" codeSystem="2.16.840.1.113883.5.6" displayName="Encounter"
+                codeSystemName="ActClass"/>
+              <entryRelationship typeCode="SUBJ">
+                <encounter classCode="ENC" moodCode="INT">
+                  <!-- Conforms to C-CDA R2.1 Planned Encounter (V2) template -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.40" extension="2014-06-09"/>
+                  <!-- Encounter Recommended (V4) template -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.24" extension="2017-08-01"/>
+                  <id root="2a620155-9d11-439e-92b3-5d9815ff4de8"/>
+                  <code code="185349003" displayName="encounter for check-up (procedure)"
+                    codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
+                  <text>Encounter for check-up (procedure)</text>
+                  <statusCode code="active"/>
+                  <author>
+                    <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                    <time value="201704081130"/>
+                    <assignedAuthor>
+                      <id nullFlavor="NA"/>
+                    </assignedAuthor>
+                  </author>                   
+                  <participant typeCode="LOC">
+                    <participantRole classCode="SDLOC">
+                      <code code="31628002" codeSystem="2.16.840.1.113883.6.96"
+                        codeSystemName="SNOMED CT"
+                        displayName="Hospital-based outpatient family medicine clinic (environment)"/>
+                      <addr>
+                        <streetAddressLine>17 Daws Rd.</streetAddressLine>
+                        <city>Blue Bell</city>
+                        <state>MA</state>
+                        <postalCode>02368</postalCode>
+                        <country>US</country>
+                      </addr>
+                      <telecom use="WP" value="tel:(555)555-1003"/>
+                      <playingEntity classCode="PLC">
+                        <name>Good Health Clinic</name>
+                      </playingEntity>
+                    </participantRole>
+                  </participant>
+                  <!-- QDM Attribute: Reason -->
+                  <entryRelationship typeCode="RSON">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                      <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                        displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                      <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                        codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                    </observation>
+                  </entryRelationship>
+                </encounter>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Individual Characteristic -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Patient Characteristic, Clinical Trial Participant -->
+          <entry>
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Patient Characteristic Clinical Trial Participant (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.51" extension="2017-08-01"/>
+              <id root="b42132cb-9ea4-4d84-93ce-4b5cd2d2ac3d"/>
+              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
+              <statusCode code="active"/>
+              <effectiveTime>
+                <low value="201706151030"/>
+              </effectiveTime>
+              <value xsi:type="CD" code="428024001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="clinical trial participant"/>
+            </observation>         
+          </entry>
+
+          <!-- QDM Datatype: Patient Characteristic, Expired -->
+          <entry>
+            <!-- Patient Characteristic Expired-->
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- - this example shows the patient died in hospital and the cause was TB. If the patient was dead and the cause was not TB, the negation indicator on the entryRelationship type "caus" would be "true" -->
+              <!-- C-CDA R2.1 Deceased Observation (V3) templateId -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.79" extension="2015-08-01"/>
+              <!-- Patient Characteristic Expired (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.54" extension="2016-02-01"/>
+              <id root="f3d6fd73-b2c0-4274-bfd2-a485957734db"/>
+              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"/>
+              <statusCode code="completed"/>
+              <!-- QDM Attibutes: Date and Time -->
+              <effectiveTime>
+                <low value="201401011030"/>
+              </effectiveTime>
+              <value xsi:type="CD" code="419099009" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="Dead"/>
+              <!-- QDM Attribute: Cause -->
+              <entryRelationship typeCode="CAUS" negationInd="false">
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- C-CDA R2.1 Problem Observation (V3) -->
+                  <!-- Updated extension for new CDA rule changes -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
+                  <id root="d11275e7-67ae-11db-bd13-0800200c9a66"/>
+                  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"
+                    codeSystemName="HL7ActCode">
+                    <translation code="854981" displayName="Condition family member HL7.CCDAR2"
+                      codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
+                      sdtc:valueSet="2.16.840.1.113883.3.88.12.3221.7.2"/>
+                  </code>
+                  <statusCode code="completed"/>
+                  <effectiveTime>
+                    <low value="20151215"/>
+                  </effectiveTime>
+                  <value xsi:type="CD" code="56717001" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Tuberculosis"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Patient Characteristic, Payer-->
+          <entry>
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Patient Characteristic Payer -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
+              <id root="4ddf1cc3-e325-472e-ad76-b2c66a5ee164"/>
+              <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                displayName="Payment source"/>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attribute: Start Datetime -->
+                <low value="20150303"/>
+                <!-- QDM Attribute: Stop Datetime -->
+                <high value="20160303"/>
+              </effectiveTime>
+              <!-- Payer -->
+              <value xsi:type="CD" code="1" codeSystem="2.16.840.1.113883.3.221.5"
+                codeSystemName="Source of Payment Typology" displayName="Medicare"
+                sdtc:valueSet="2.16.840.1.114222.4.11.3591"/>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Patient Characteristic -->
+          <entry typeCode="DRIV">
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Patient Characteristic Observation Assertion (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.103" extension="2017-08-01"/>
+              <id root="94de1700-9629-40b4-b56d-a4eac5f48726"/>
+              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <low value="201704081130"/>
+              </effectiveTime>
+              <!-- Patient Characteristic -->
+              <value xsi:type="CD" code="422894000" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT"
+                displayName="Eastern Cooperative Oncology Group performance status - grade 2 (finding)"/>
+              <author>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Provider Characteristic -->
+          <entry typeCode="DRIV">
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Provider Characteristic Observation Assertion (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.114" extension="2017-08-01"/>
+              <id root="94de1700-9629-40b4-b56d-a4eac5f48726"/>
+              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
+              <statusCode code="completed"/>
+              <!-- Provider Characteristic -->
+              <value xsi:type="CD" code="2135-2" codeSystem="2.16.840.1.113883.6.238"
+                codeSystemName="CDCREC" displayName="Hispanic or Latino"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>               
+              <participant typeCode="IND">
+                <participantRole>
+                  <!-- NPI -->
+                  <id root="2.16.840.1.113883.4.6" extension="123456789"/>
+                  <code code="207QA0505X" displayName="Adult Medicine"
+                    codeSystem="2.16.840.1.113883.6.101"
+                    codeSystemName="Healthcare Provider Taxonomy"/>
+                </participantRole>
+              </participant>
+            </observation>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Intervention -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Intervention, Order -->
+          <entry>
+            <act classCode="ACT" moodCode="RQO">
+              <!-- Conforms to C-CDA R2 Planned Act (V2) template -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.39" extension="2014-06-09"/>
+              <!-- Intervention Order (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.31" extension="2017-08-01"/>
+              <id root="db734647-fc99-424c-a864-7e3cda82e703"/>
+              <!-- Intervention -->
+              <code code="419553002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CD"
+                displayName="diet education"/>
+              <statusCode code="active"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>               
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <statusCode code="completed"/>
+                  <value xsi:type="CD" code="254838004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Carcinoma of breast"/>
+                </observation>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- QDM Data Type: Intervention, Performed -->
+          <entry>
+            <act classCode="ACT" moodCode="EVN">
+              <!-- Conforms to C-CDA R2 Procedure Activity Act (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09"/>
+              <!-- Intervention Performed (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.32" extension="2017-08-01"/>
+              <id root="db734647-fc99-424c-a864-7e3cda82e703"/>
+              <code code="225323000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CD"
+                displayName="Smoking cessation education (procedure)"/>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attibute: Relevant Period - Start dateTime -->
+                <low value="201703011130"/>
+                <!-- QDM Attibute: Relevant Period - Stop dateTime -->
+                <high value="201703011330"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="160605003" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT"
+                    displayName="Heavy cigarette smoker (20-39 cigs/day) (finding)"/>
+                </observation>
+              </entryRelationship>
+              <!-- QDM Attribute: Result -->
+              <entryRelationship typeCode="REFR">
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- C-CDA R2 Result Observation (V3) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
+                  <id root="ed971e73-c060-4258-8838-69c830254b5a"/>
+                  <code code="225323000" displayName="Smoking cessation education (procedure)"
+                    codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
+                  <statusCode code="completed"/>
+                  <effectiveTime nullFlavor="NI"/>
+                  <value xsi:type="CD" code="394872000" codeSystem="2.16.840.1.113883.6.96"
+                    displayName="Ready to stop smoking (finding)" codeSystemName="SNOMED CT"/>
+                </observation>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- QDM Data Type: Intervention, Performed (Intervention not performed,
+          with Negation Rationale (negationInd="true" and Reason given) -->
+          <entry>
+            <act classCode="ACT" moodCode="EVN" negationInd="true">
+              <!-- Conforms to C-CDA R2 Procedure Activity Act (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09"/>
+              <!-- Intervention Performed (V42) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.32" extension="2017-08-01"/>
+              <id root="db734647-fc99-424c-a864-7e3cda82e703"/>
+              <code code="419553002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CD"
+                displayName="diet education"/>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attibute: Relevant Period - Start dateTime -->
+                <low value="201703011130"/>
+                <!-- QDM Attibute: Relevant Period - Stop dateTime -->
+                <high value="201703011330"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="105480006" codeSystem="2.16.840.1.113883.6.96"
+                    displayName="refusal of treatment by patient" codeSystemName="SNOMED CT"/>
+                </observation>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- QDM Datatype: Intervention, Recommended -->
+          <entry>
+            <act classCode="ACT" moodCode="INT">
+              <!-- Conforms to C-CDA R2.1 Planned Act (V2) template -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.39" extension="2014-06-09"/>
+              <!-- Intervention Recommended (V4) template -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.33" extension="2017-08-01"/>
+              <id root="db734647-fc99-424c-a864-7e3cda82e703"/>
+              <!-- Intervention -->
+              <code code="225323000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CD"
+                displayName="Smoking cessation education (procedure)"/>
+              <statusCode code="active"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author>               
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="160605003" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT"
+                    displayName="Heavy cigarette smoker (20-39 cigs/day) (finding)"/>
+                </observation>
+              </entryRelationship>
+            </act>
+          </entry>
+          <!-- =============================================== -->
+          <!-- QDM Category: Laboratory Test -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Laboratory Test, Order -->
+          <entry>
+            <observation classCode="OBS" moodCode="RQO">
+              <!-- Conforms to C-CDA R2.1 Planned Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+              <!-- Laboratory Test, Order (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.37" extension="2016-08-01"/>
+              <id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+              <!-- Laboratory Test -->
+              <code code="4544-3" displayName="Hematocrit" codeSystem="2.16.840.1.113883.6.1"
+                codeSystemName="LOINC"/>
+              <statusCode code="active"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="58410-2"
+                displayName="Complete blood count (hemogram) panel - Blood by Automated count"
+                codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="254838004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Carcinoma of breast"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Laboratory Test, Performed -->
+          <entry>
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Laboratory Test Performed (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.38" extension="2017-08-01"/>
+              <id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+              <!-- Laboratory Test -->
+              <code code="4544-3" displayName="Hematocrit" codeSystem="2.16.840.1.113883.6.1"
+                codeSystemName="LOINC"/>
+              <text>Lab Test, Hematocrit</text>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attribute: Relevant Period - Start dateTime -->
+                <low value="20150329090000"/>
+                <!-- QDM Attribute: Relevant Period - Stop dateTime -->
+                <high value="20150329103000"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="104091002" codeSystem="2.16.840.1.113883.6.96"
+                displayName="Hemogram, automated, with RBC, WBC, Hgb, Hct, Indices, Platelet count, and manual WBC differential"
+                codeSystemName="SNOMED CT"/>
+              <!-- QDM Attribute: Status -->
+              <entryRelationship typeCode="REFR">
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- Status -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.93"/>
+                  <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                    displayName="Status"/>
+                  <value xsi:type="CD" code="445665009" displayName="Final Report"/>
+                </observation>
+              </entryRelationship>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="254838004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Carcinoma of breast"/>
+                </observation>
+              </entryRelationship>
+              <entryRelationship typeCode="REFR">
+                <!-- Conforms to C-CDA R2.1 Result Observation (V3) -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
+                  <id root="7c0704bb-9c40-41b5-9c7d-26b2d59e234f" />
+                  <code code="4544-3" displayName="Hematocrit" codeSystem="2.16.840.1.113883.6.1"
+                    codeSystemName="LOINC"/>
+                  <statusCode code="completed"/>
+                  <effectiveTime value="200803190830-0800" />
+                  <value xsi:type="PQ" value="35.3" unit="%"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Laboratory Test, Recommended -->
+          <entry>
+            <observation classCode="OBS" moodCode="INT">
+              <!-- Conforms to C-CDA R2.1 Planned Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+              <!-- Laboratory Test, Recommended (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.39" extension="2017-08-01"/>
+              <id root="1fad091f-7b4e-4661-b61c-53f9a82515b4"/>
+              <!-- Laboratory Test -->
+              <code code="4544-3" displayName="Hematocrit" codeSystem="2.16.840.1.113883.6.1"
+                codeSystemName="LOINC"/>
+              <statusCode code="active"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="58410-2"
+                displayName="Complete blood count (hemogram) panel - Blood by Automated count"
+                codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="254838004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Carcinoma of breast"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Medication -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Medication, Active -->
+          <entry>
+            <substanceAdministration classCode="SBADM" moodCode="EVN">
+              <!-- Conforms to C-CDA R2 Medication Activity (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
+              <!-- Medication Active (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.41" extension="2017-08-01"/>
+              <id root="c0ea7bf3-50e7-4e7a-83a3-e5a9ccbb8541"/>
+              <statusCode code="active"/>
+              <effectiveTime xsi:type="IVL_TS">
+                <!-- QDM Attribute: Relevant Period startTime  -->
+                <low value="20170301"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Frequency -->
+              <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+                <period value="6" unit="h"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Route -->
+              <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1"
+                codeSystemName="NCI Thesaurus" displayName="ORAL"/>
+              <!-- QDM Attribute: Dose -->
+              <doseQuantity value="1"/>
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- Conforms to C-CDA R2 Medication Information (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                  <id root="37bfe02a-3e97-4bd6-9197-bbd0ed0de79e"/>
+                  <manufacturedMaterial>
+                    <code code="105152" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"
+                      displayName="Amoxicillin 60 MG/ML Oral Suspension"/>
+                  </manufacturedMaterial>
+                </manufacturedProduct>
+              </consumable>
+            </substanceAdministration>
+          </entry>
+
+          <!-- QDM Datatype: Medication, Administered -->
+          <entry>
+            <substanceAdministration classCode="SBADM" moodCode="EVN">
+              <!-- C-CDA R2.1 Medication Activity -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
+              <!-- Medication Administered -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.42" extension="2017-08-01"/>
+              <id root="9069c123-80ad-47c8-a633-9dc02018ae56"/>
+              <statusCode code="completed"/>
+              <effectiveTime xsi:type="IVL_TS">
+                <low value="20170301150000"/>
+                <high value="20170301150000"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Frequency -->
+              <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+                <period value="6" unit="h"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Route -->
+              <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1"
+                codeSystemName="NCI Thesaurus" displayName="ORAL"/>
+              <!-- QDM Attribute: Dosage -->
+              <doseQuantity value="1"/>
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- Conforms to C-CDA R2 Medication Information (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                  <id root="37bfe02a-3e97-4bd6-9197-bbd0ed0de79e"/>
+                  <manufacturedMaterial>
+                    <code code="105152" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"
+                      displayName="Amoxicillin 60 MG/ML Oral Suspension"/>
+                  </manufacturedMaterial>
+                </manufacturedProduct>
+              </consumable>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="254838004" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Carcinoma of breast"/>
+                </observation>
+              </entryRelationship>
+            </substanceAdministration>
+          </entry>
+
+          <!-- QDM Datatype: Medication, Administered (NOT DONE)-->
+          <entry>
+            <!--Medication administered not done, patient refusal: Drug declined by patient - reason unknown. 
+              No "Antibiotic Medications for Pharyngitis" were administered -->
+            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true">
+              <!-- C-CDA R2.1 Medication Activity -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
+              <!-- Medication Administered -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.153" extension="2017-08-01"/>
+              <id root="9069c123-80ad-47c8-a633-9dc02018ae56"/>
+              <statusCode code="completed"/>
+              <effectiveTime xsi:type="IVL_TS">
+                <low value="20170301150000"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Frequency -->
+              <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+                <period value="6" unit="h"/>
+              </effectiveTime>
+              
+              <doseQuantity nullFlavor="NA" />
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- Conforms to C-CDA R2 Medication Information (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                  <id root="37bfe02a-3e97-4bd6-9197-bbd0ed0de79e"/>
+                  <manufacturedMaterial>
+                    <code nullFlavor="NA" sdtc:valueSet="2.16.840.1.113883.3.464.1003.196.12.1001">
+                      <originalText>None of value set: Antibiotic Medications for
+                        Pharyngitis</originalText>
+                    </code>
+                  </manufacturedMaterial>
+                </manufacturedProduct>
+              </consumable>
+              
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="182903008" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED-CT"
+                    displayName="Drug declined by patient - reason unknown (situation)"/>
+                </observation>
+              </entryRelationship>
+            </substanceAdministration>
+          </entry>
+
+          <!-- QDM Datatype: Medication, Discharge -->
+          <entry>
+            <act classCode="ACT" moodCode="RQO">
+              <!-- Discharge Medication (V3) -->
+              <!-- STU R5 still contains Discharge Medication (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.105" extension="2016-02-01"/>
+              <id root="60f33340-591f-4459-9fa2-1c93e014a6e2"/>
+              <code code="75311-1" displayName="Discharge medications"
+                codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
+              <entryRelationship typeCode="SUBJ">
+                <substanceAdministration classCode="SBADM" moodCode="EVN">
+                  <!-- Conforms to C-CDA R2 Medication Activity (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
+                  <id root="c0ea7bf3-50e7-4e7a-83a3-e5a9ccbb8541"/>
+                  <statusCode code="active"/>
+                  <effectiveTime xsi:type="IVL_TS">
+                    <!-- QDM Attribute: Start datetime -->
+                    <low value="20150301"/>
+                    <!-- QDM Attribute: Stop datetime -->
+                    <high value="20150901"/>
+                  </effectiveTime>
+                  <!-- QDM Attribute: Frequency -->
+                  <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+                    <period value="6" unit="h"/>
+                  </effectiveTime>
+                  <!-- QDM Attribute: Route -->
+                  <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1"
+                    codeSystemName="NCI Thesaurus" displayName="ORAL" sdtc:valueSet="1.2.9999"/>
+                  <!-- QDM Attribute: Dose -->
+                  <doseQuantity value="1"/>
+                  <consumable>
+                    <manufacturedProduct classCode="MANU">
+                      <!-- Conforms to C-CDA R2 Medication Information (V2) -->
+                      <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                      <id root="37bfe02a-3e97-4bd6-9197-bbd0ed0de79e"/>
+                      <manufacturedMaterial>
+                        <code code="105152" codeSystem="2.16.840.1.113883.6.88"
+                          codeSystemName="RxNorm" displayName="Amoxicillin 60 MG/ML Oral Suspension"
+                          sdtc:valueSet="2.16.840.1.113883.3.464.1003.196.12.1001"/>
+                      </manufacturedMaterial>
+                    </manufacturedProduct>
+                  </consumable>
+                </substanceAdministration>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- QDM Datatype: Medication, Dispensed -->
+          <entry>
+            <act classCode="ACT" moodCode="EVN">
+              <!-- Medication Dispensed Act (V2)-->
+              <templateId root="2.16.840.1.113883.10.20.24.3.139" extension="2017-08-01"/>
+              <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
+              <code code="SPLY" codeSystem="2.16.840.1.113883.5.6" displayName="supply"
+                codeSystemName="ActClass"/>
+              <entryRelationship typeCode="SUBJ">
+                <!-- Must be contained in the Medication Dispensed Act (V2) template to represent the Medication, Dispensed QDM data type -->
+                <supply classCode="SPLY" moodCode="EVN">
+                  <!-- Conforms to C-CDA R2.1 Medication Dispense (V2) template -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.18" extension="2014-06-09"/>
+                  <!-- Medication Dispensed (V4) template -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.45" extension="2017-08-01"/>
+                  <id root="50ed595a-dfb6-49f0-8b19-1901b5d01c1a"/>
+                  <statusCode code="completed"/>
+                  <!-- QDM Attribute: Refills -->
+                  <repeatNumber value="4"/>
+                    <product>
+                    <manufacturedProduct classCode="MANU">
+                      <!-- C-CDA R2 Medication Information (V2) -->
+                      <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                      <id root="37bfe02a-3e97-4bd6-9197-bbd0ed0de79e"/>
+                      <manufacturedMaterial>
+                        <code code="329498" codeSystem="2.16.840.1.113883.6.88"
+                          displayName="Albuterol 0.09 MG/ACTUAT inhalant solution" codeSystemName="RxNorm"/>
+                      </manufacturedMaterial>
+                    </manufacturedProduct>
+                  </product>
+                  <author>
+                    <time value="2017050101030"/>
+                    <assignedAuthor>
+                      <id nullFlavor="NA"/>
+                    </assignedAuthor>
+                  </author>
+                  <entryRelationship typeCode="REFR">
+                    <substanceAdministration classCode="SBADM" moodCode="EVN">
+                      <!-- QDM Attribute: Frequency -->
+                      <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+                        <period value="6" unit="h"/>
+                      </effectiveTime>
+                      <!-- QDM Attribute: Route -->
+                      <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1"
+                        codeSystemName="NCI Thesaurus" displayName="ORAL"/>
+                      <!-- QDM Attribute: Dosage -->
+                      <doseQuantity value="1"/>
+                      <consumable>
+                        <manufacturedProduct>
+                          <manufacturedMaterial nullFlavor="NA"/>
+                        </manufacturedProduct>
+                      </consumable>
+                    </substanceAdministration>
+                  </entryRelationship>
+                </supply>              
+              </entryRelationship>
+              
+            </act>
+          </entry>
+
+          <!-- QDM Attribute: Medication, Order -->
+          <entry>
+            <substanceAdministration classCode="SBADM" moodCode="RQO">
+              <!-- Conforms to C-CDA R2.1 Planned Medication Activity (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.42" extension="2014-06-09"/>
+              <!-- Medication Order (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.47" extension="2017-08-01"/>
+              <id root="9a5f4d94-ccad-4d57-80ea-27737545c7bb"/>
+              <text>Medication active: 0.09 MG/ACTUAT inhalant solution, 2 puffs QID PRN
+                wheezing</text>
+              <statusCode code="active"/>
+              <effectiveTime xsi:type="IVL_TS">
+                <!-- QDM Attribute: Relevant Period -->
+                <low value="20170801"/>
+                <high value="20170801"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Frequency -->
+              <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+                <period value="6" unit="h"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Refill -->
+              <repeatNumber value="2"/>
+              <!-- QDM Attribute: Route -->
+              <routeCode code="C38216" codeSystem="2.16.840.1.113883.3.26.1.1"
+                codeSystemName="NCI Thesaurus" displayName="RESPIRATORY (INHALATION)"/>
+              <!-- QDM Attribute: Dose -->
+              <doseQuantity value="1"/>
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- Conforms to C-CDA R2.1 Medication Information (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                  <id root="37bfe02a-3e97-4bd6-9197-bbd0ed0de79e"/>
+                  <manufacturedMaterial>
+                    <code code="329498" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"
+                      displayName="Albuterol 0.09 MG/ACTUAT inhalant solution"/>
+                  </manufacturedMaterial>
+                </manufacturedProduct>
+              </consumable>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                </observation>
+              </entryRelationship>
+            </substanceAdministration>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Physical Exam -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Physical Exam, Order -->
+          <entry>
+            <observation classCode="OBS" moodCode="RQO">
+              <!-- Conforms to C-CDA R2.1 Planned Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+              <!-- Physical Exam Order (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.58" extension="2017-08-01"/>
+              <id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+              <code code="29545-1" codeSystem="2.16.840.1.113883.6.1"
+                displayName="physical examination" codeSystemName="LOINC"/>
+              <statusCode code="active"/>
+              <effectiveTime value="20170412"/>
+              <value xsi:type="CD" code="29463-7" codeSystem="2.16.840.1.113883.6.1"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="8350-1" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Body weight Measured --with clothes" codeSystemName="LOINC"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="238131007" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Overweight (finding)"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Physcial Exam, Performed -->
+          <entry>
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Conforms to C-CDA R2 Procedure Activity Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.13" extension="2014-06-09"/>
+              <!-- Physical Exam Performed (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.59" extension="2017-08-01"/>
+              <id extension="123456789" root="2.16.840.1.113883.19"/>
+              <!-- Physical Exam -->
+              <code xsi:type="CD" code="29463-7" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Body weight" codeSystemName="LOINC"/>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attribute: Relevant Period - start Datetime -->
+                <low value="20170329090000"/>
+                <!-- QDM Attribute: Relevant Period - start Datetime -->
+                <high value="20170329103000"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Result -->
+              <value xsi:type="PQ" value="79" unit="kg"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="8350-1" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Body weight Measured --with clothes" codeSystemName="LOINC"/>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="238131007" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Overweight (finding)"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Physical Exam, Recommended -->
+          <entry>
+            <observation classCode="OBS" moodCode="INT">
+              <!-- Conforms to C-CDA R2.1 Planned Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+              <!-- Physical Exam Recommeded (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.60" extension="2017-08-01"/>
+              <id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+              <code code="29545-1" codeSystem="2.16.840.1.113883.6.1"
+                displayName="physical examination" codeSystemName="LOINC"/>
+              <statusCode code="active"/>
+              <effectiveTime value="20170412"/>
+              <value xsi:type="CD" code="29463-7" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Body weight" codeSystemName="LOINC"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="8350-1" codeSystem="2.16.840.1.113883.6.1"
+                displayName="Body weight Measured --with clothes" codeSystemName="LOINC"
+                sdtc:valueSet="2.16.840.1.113883.3.464.1003.121.12.1015"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="238131007" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Overweight (finding)"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Procedure -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Procedure, Order -->
+          <entry typeCode="DRIV">
+            <procedure classCode="PROC" moodCode="RQO">
+              <!-- Conforms to C-CDA R2 Planned Procedure (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2014-06-09"/>
+              <!-- Procedure Order (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.63" extension="2017-08-01"/>
+              <id root="5bc8cc9d-d59a-4dda-99d8-1463b2e71d06"/>
+              <code code="235326000" displayName="Right hemicolectomy"
+                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+              <text>Procedure, Order: Right hemicolectomy </text>
+              <statusCode code="active"/>
+              <effectiveTime value="20170412"/>
+              <!-- QDM Attribute: Ordinality -->
+              <priorityCode code="63161005" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="Principal"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="446223002" codeSystem="2.16.840.1.113883.6.96"
+                displayName="Hand assisted laparoscopic right colectomy" codeSystemName="SNOMED-CT"/>
+              <!-- QDA Attribute: Anatomical Approach Site -->
+              <approachSiteCode code="14742008" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="large intestinal structure"/>
+              <!-- QDM Attribute: Anatomical Location Site -->
+              <targetSiteCode code="71854001" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="colon"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                </observation>
+              </entryRelationship>
+            </procedure>
+          </entry>
+
+          <!-- QDM Datatype: Procedure, Performed -->
+          <entry typeCode="DRIV">
+            <!-- QDM Datatype: Procedure, Performed -->
+            <procedure classCode="PROC" moodCode="EVN">
+              <!-- Conforms to C-CDA R2.1 Procedure Activity Procedure (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
+              <!-- Procedure Performed (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.64" extension="2017-08-01"/>
+              <id root="d68b7e32-7810-4f5b-9cc2-acd54b0fd85d"/>
+              <code code="235326000" displayName="Right hemicolectomy"
+                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+              <text>Procedure, Performed: Right hemicolectomy </text>
+              <statusCode code="completed"/>
+              <effectiveTime>
+                <!-- QDM Attribute: Relevant Period - start dateTime -->
+                <low value="20170329090000"/>
+                <!-- QDM Attribute: Relevant Period - stop dateTime -->
+                <high value="20170329103000"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Ordinality -->
+              <priorityCode code="63161005" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="Principal"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="446223002" codeSystem="2.16.840.1.113883.6.96"
+                displayName="Hand assisted laparoscopic right colectomy" codeSystemName="SNOMED-CT"/>
+              <!-- QDA Attribute: Anatomical Approach Site -->
+              <approachSiteCode code="14742008" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="large intestinal structure"/>
+              <!-- QDM Attribute Anatomical Location Site -->
+              <targetSiteCode code="71854001" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="colon"/>
+              <!-- QDM Attribute: Incision Datetime -->
+              <entryRelationship typeCode="REFR">
+                <procedure classCode="PROC" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.89"/>
+                  <id root="2d5dc123-13ca-477d-9263-4a9c504186a1"/>
+                  <code code="34896006" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="incision"/>
+                  <effectiveTime value="20170329103000"/>
+                </procedure>
+              </entryRelationship>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                </observation>
+              </entryRelationship>
+              <!-- QDM Attribute: Result -->
+              <entryRelationship typeCode="REFR">
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- Conforms to C-CDA R2.1 Result Observation (V3) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
+                  <id root="ed971e73-c060-4258-8838-69c830254b5a"/>
+                  <code code="36625-2" displayName="Breast Mammogram"
+                    codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
+                  <statusCode code="completed"/>
+                  <effectiveTime value="201503231430"/>
+                  <value xsi:type="CD" code="369895002" codeSystem="2.16.840.1.113883.6.96"
+                    displayName="T1: Breast tumor &lt; 2 cm in greatest dimension"
+                    codeSystemName="SNOMED CT"/>
+                </observation>
+              </entryRelationship>
+            </procedure>
+          </entry>
+
+          <!-- QDM Datatype: Procedure, Recommended -->
+          <entry typeCode="DRIV">
+            <procedure classCode="PROC" moodCode="INT">
+              <!-- Conforms to C-CDA R2.1 Planned Procedure (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2014-06-09"/>
+              <!-- Procedure Recommended (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.65" extension="2017-08-01"/>
+              <id root="5a132c58-bd4f-4c46-b082-b7f84909834f"/>
+              <!-- Procedure -->
+              <code code="235326000" displayName="Right hemicolectomy"
+                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+              <text>Procedure, Recommended: Right hemicolectomy </text>
+              <statusCode code="active"/>
+              <effectiveTime value="20150412"/>
+              <!-- QDM Attribute: Ordinality -->
+              <priorityCode code="63161005" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="Principal"/>
+              <!-- QDM Attribute: Method -->
+              <methodCode code="446223002" codeSystem="2.16.840.1.113883.6.96"
+                displayName="Hand assisted laparoscopic right colectomy" codeSystemName="SNOMED-CT"/>
+              <!-- QDA Attribute: Anatomical Approach Site -->
+              <approachSiteCode code="14742008" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="large intestinal structure"/>
+              <!-- QDM Attribute: Anatomical Location Site -->
+              <targetSiteCode code="71854001" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="colon"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                </observation>
+              </entryRelationship>
+            </procedure>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Assessment -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Assessment Performed -->
+          <entry typeCode="DRIV">
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Assessment Performed (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.144" extension="2017-08-01"/>
+              <id root="d55c711a-f958-4807-bdb6-45fe5b6195c0"/>
+              <code code="72195-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                displayName="Physical limitation score [KCCQ]"/>
+              <text>Assessment Performed: Physical limitation score [KCCQ]: Unable to walk</text>
+              <statusCode code="completed"/>
+              <!-- QDM Attribute: Result -->
+              <value xsi:type="CD" code="282145008" codeSystem="2.16.840.1.113883.6.96"
+                codeSystemName="SNOMED CT" displayName="unable to walk"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Related to -->
+              <sdtc:inFulfillmentOf1 typeCode="FLFS">
+                <sdtc:templateId root="2.16.840.1.113883.10.20.24.3.150" extension="2017-08-01"/>
+                <sdtc:actReference classCode="SPLY" moodCode="RQO">
+                  <!-- For example, the id is the same as the id of another QDM element instance contained in the same QRDA I document being referenced -->
+                  <sdtc:id root="1fad091f-7b4e-4661-b61c-53f9a82515b6"/>
+                </sdtc:actReference>
+              </sdtc:inFulfillmentOf1>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Assessment Performed - example with component -->
+          <entry typeCode="DRIV">
+            <observation classCode="OBS" moodCode="EVN">
+              <!-- Assessment Performed (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.144" extension="2017-08-01"/>
+              <id root="d55c711a-f958-4807-bdb6-45fe5b6195c0"/>
+              <code code="35088-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                displayName="Glasgow Coma Scale"/>
+              <text>Assessment Performed: Glasgow Coma Scale Assessment</text>
+              <statusCode code="completed"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <entryRelationship typeCode="REFR">
+                <!-- Component -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.3.149" extension="2017-08-01"/>
+                  <id root="bd54c4c7-49b8-47e4-b2d5-9d2b64c413b9"/>
+                  <code code="9267-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                    displayName="Glasgow Coma score eye opening"/>
+                  <!--<value xsi:type="INT">1</value>-->
+                  <value xsi:type="CD" code="LA6553-7" codeSystem="2.16.840.1.113883.6.1"
+                    codeSystemName="LOINC" displayName="No eye opening"/>
+                </observation>
+              </entryRelationship>
+              <entryRelationship typeCode="REFR">
+                <!-- Component -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.3.149" extension="2017-08-01"/>
+                  <id root="204c9596-35a9-4e71-aa65-ac638c76be7d"/>
+                  <code code="9268-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                    displayName="Glasgow Coma score motor"/>
+                  <!--<value xsi:type="INT">3</value>-->
+                  <value xsi:type="CD" code="LA6564-4" codeSystem="2.16.840.1.113883.6.1"
+                    codeSystemName="LOINC" displayName="Flexion to pain"/>
+                </observation>
+              </entryRelationship>
+              <entryRelationship typeCode="REFR">
+                <!-- Component -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.3.149" extension="2017-08-01"/>
+                  <id root="5e555fa2-72cb-45a0-9d5b-968a2d3b9b44"/>
+                  <code code="9270-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                    displayName="Glasgow Coma score verbal"/>
+                  <!--<value xsi:type="INT">4</value>-->
+                  <value xsi:type="CD" code="LA6560-2" codeSystem="2.16.840.1.113883.6.1"
+                    codeSystemName="LOINC" displayName="Confused"/>
+                </observation>
+              </entryRelationship>
+              <entryRelationship typeCode="REFR">
+                <!-- Component -->
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.3.149" extension="2017-08-01"/>
+                  <id root="63bb6f9e-fb84-4b2b-a1aa-780d2c021c12"/>
+                  <code code="9270-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                    displayName="Glasgow Coma score total"/>
+                  <value xsi:type="INT" value="8"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- QDM Datatype: Assessment Recommended -->
+          <entry typeCode="DRIV">
+            <observation classCode="OBS" moodCode="INT">
+              <!-- Conforms to C-CDA R2.1 Planned Observation (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+              <!-- Assessment Recommended (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.145" extension="2017-08-01"/>
+              <id root="41c3513a-a3eb-468d-b537-9b9bebe11807"/>
+              <code code="72195-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                displayName="Physical limitation score [KCCQ]"/>
+              <text>Assessment Recommended: Physical limitation score [KCCQ]</text>
+              <statusCode code="active"/>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="282145008" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="unable to walk"/>
+                </observation>
+              </entryRelationship>
+            </observation>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Substance -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Substance, Administered -->
+          <entry>
+            <substanceAdministration classCode="SBADM" moodCode="EVN">
+              <!-- Conforms to Medication Activity -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
+              <templateId root="2.16.840.1.113883.10.20.24.3.42" extension="2017-08-01"/>
+              <id root="9a5f4d94-ccad-4d57-80ea-27737545c7ed"/>
+              <statusCode code="completed"/>
+              <effectiveTime xsi:type="IVL_TS">
+                <low value="201504081130"/>
+                <high value="201504081135"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Frequency -->
+              <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+                <period value="6" unit="h"/>
+              </effectiveTime>
+              <!-- QDM Attributes: Route -->
+              <routeCode code="C38216" codeSystem="2.16.840.1.113883.3.26.1.1"
+                codeSystemName="NCI Thesaurus" displayName="RESPIRATORY (INHALATION)"/>
+              <!-- QDM Attribute: Dose -->
+              <doseQuantity value="1"/>
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- Conforms to Medication Information -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                  <manufacturedMaterial>
+                    <code code="226789007" displayName="Breast milk"
+                      codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+                  </manufacturedMaterial>
+                </manufacturedProduct>
+              </consumable>
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                </observation>
+              </entryRelationship>
+            </substanceAdministration>
+          </entry>
+
+          <!-- QDM Datatype: Substance, Order -->
+          <entry>
+            <substanceAdministration classCode="SBADM" moodCode="RQO">
+              <!-- Conforms to Planned Medication Activity -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.42" extension="2014-06-09"/>
+              <!-- Medication Order (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.47" extension="2017-08-01"/>
+              <id root="9a5f4d94-ccad-4d57-80ea-27737545c7ff"/>
+              <statusCode code="active"/>
+              <!-- Time that the substance activity should occur. -->
+              <effectiveTime xsi:type="IVL_TS">
+                <!-- QDM Attribute: Start Datetime -->
+                <low value="20150301"/>
+                <!-- QDM Attribute: Stop Datetime -->
+                <high value="201520301"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Frequency -->
+              <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+                <period value="6" unit="h"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Refils -->
+              <repeatNumber value="3"/>
+              <!-- QDM Attributes: Route & Method -->
+              <routeCode code="C38216" codeSystem="2.16.840.1.113883.3.26.1.1"
+                codeSystemName="NCI Thesaurus" displayName="RESPIRATORY (INHALATION)"
+                sdtc:valueSet="1.2.9999"/>
+              <!-- QDM Attribute: Dose -->
+              <doseQuantity value="100" unit="mg"/>
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- Medication Information -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                  <manufacturedMaterial>
+                    <!-- Substance -->
+                    <code code="226789007" displayName="Breast milk"
+                      codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"
+                      sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.30"/>
+                  </manufacturedMaterial>
+                </manufacturedProduct>
+              </consumable>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+              <!-- QDM Attribute: Reason -->
+              <entryRelationship typeCode="RSON">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
+                  <code code="77301-0" codeSystem="2.16.840.1.113883.6.1"
+                    displayName="Reason care action performed or not" codeSystemName="LOINC"/>
+                  <value xsi:type="CD" code="125629006" codeSystem="2.16.840.1.113883.6.96"
+                    codeSystemName="SNOMED CT" displayName="Injury of colon"/>
+                </observation>
+              </entryRelationship>
+            </substanceAdministration>
+          </entry>
+
+          <!-- QDM Datatype: Substance, Recommended -->
+          <entry>
+            <substanceAdministration classCode="SBADM" moodCode="INT">
+              <!-- Conforms to C-CDA R2.1 Planned Medication Activity (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.42" extension="2014-06-09"/>
+              <!-- Substance Recommended (V4) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.75" extension="2017-08-01"/>
+              <id root="df154906-9aaa-4651-a244-412cef74b8d5"/>
+              <text>Substance Recommended: Dietary fiber</text>
+              <statusCode code="active"/>
+              <effectiveTime value="20170408"/>
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- Conforms to C-CDA R2.1 Medication Information (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
+                  <id root="39e2bc57-295f-4c81-82dd-38ede1463830"/>
+                  <manufacturedMaterial>
+                    <code code="116272000" codeSystem="2.16.840.1.113883.6.96"
+                      codeSystemName="SNOMED" displayName="Dietary Fiber"/>
+                  </manufacturedMaterial>
+                  <manufacturerOrganization>
+                    <name>Medication Factory Inc.</name>
+                  </manufacturerOrganization>
+                </manufacturedProduct>
+              </consumable>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+            </substanceAdministration>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Symptom -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Symptom -->
+          <entry>
+            <act classCode="ACT" moodCode="EVN">
+              <!-- Conforms to C-CDA 2.1 Problem Concern Act (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01"/>
+              <!-- Symptom Concern Act (V3) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.138" extension="2017-08-01"/>
+              <id root="ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"/>
+              <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern"/>
+              <!-- The statusCode represents whether this is an active (active) or resolved (completed) symptom -->
+              <statusCode code="completed"/>
+              <!-- This is the time that the symptom is authored in the patient's chart -->
+              <effectiveTime>
+                <!-- equivalent to author/time in the contained observation -->
+                <low value="201704081130"/>
+              </effectiveTime>
+              <entryRelationship typeCode="SUBJ">
+                <observation classCode="OBS" moodCode="EVN">
+                  <!-- Conforms to C-CDA R2.1 Problem Observation (V3) template -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
+                  <!-- Symptom (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.24.3.136" extension="2017-08-01"/>
+                  <id root="e5d9e01e-d778-40ba-9bd0-351d0222b299"/>
+                  <code code="75325-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+                    displayName="Symptom">
+                    <translation code="418799008" displayName="Symptom" codeSystemName="SNOMED"
+                      codeSystem="2.16.840.1.113883.6.96"/>
+                  </code>
+                  <statusCode code="completed"/>
+                  <effectiveTime>
+                    <!-- Onset Datetime -->
+                    <low value="201704041129"/>
+                    <!-- Abatement Datetime -->
+                    <high value="201704081129"/>
+                  </effectiveTime>
+                  <value xsi:type="CD" code="233604007" codeSystem="2.16.840.1.113883.6.96"
+                    displayName="Shortness of breath"/>
+                  <!-- QDM Attribute: Severity -->
+                  <entryRelationship typeCode="REFR">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09"/>
+                      <code code="SEV" displayName="Severity Observation"
+                        codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
+                      <statusCode code="completed"/>
+                      <value xsi:type="CD" code="371924009" displayName="Moderate to severe"
+                        codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
+                    </observation>
+                  </entryRelationship>
+                </observation>
+              </entryRelationship>
+            </act>
+          </entry>
+
+          <!-- =============================================== -->
+          <!-- QDM Category: Immunization -->
+          <!-- =============================================== -->
+          <!-- QDM Datatype: Immunization, Administered -->
+          <entry>
+            <substanceAdministration classCode="SBADM" moodCode="EVN">
+              <!-- C-CDA R2 Immunization Activity -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2014-06-09"/>
+              <templateId root="2.16.840.1.113883.10.20.24.3.140" extension="2017-08-01"/>
+              <id root="1ea77951-61f4-425f-bb69-dd396d63c44f"/>
+              <statusCode code="completed"/>
+              <effectiveTime value="20041215"/>
+              <!-- QDM Attribute: Dose -->
+              <doseQuantity value="1"/>
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- C-CDA R2.1 Immunization Medication Information (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
+                  <id root="37bfe02a-3e97-4bd6-9197-bbd0ed0de79e"/>
+                  <manufacturedMaterial>
+                    <code code="33" codeSystem="2.16.840.1.113883.6.59"
+                      displayName="Pneumococcal polysaccharide vaccine" codeSystemName="CVX"> </code>
+                    <lotNumberText>1</lotNumberText>
+                  </manufacturedMaterial>
+                </manufacturedProduct>
+              </consumable>
+            </substanceAdministration>
+          </entry>
+
+          <!-- QDM Datatype: Immunization, Order -->
+          <entry>
+            <substanceAdministration classCode="SBADM" moodCode="RQO">
+              <!-- Conforms to C-CDA R2.1 Planned Immunization Activity -->
+              <templateId root="2.16.840.1.113883.10.20.22.4.120"/>
+              <!-- Immunization Order (V2) -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.143" extension="2017-08-01"/>
+              <id root="9a5f4d94-ccad-4d57-80ea-27737545c7bb"/>
+              <statusCode code="active"/>
+              <!-- Active dateTime: the date and time at which an order becomes active (intended to take place)-->
+              <effectiveTime xsi:type="IVL_TS">
+                <low value="20170708"/>
+              </effectiveTime>
+              <!-- QDM Attribute: Route -->
+              <routeCode code="IM" codeSystem="2.16.840.1.113883.5.112"
+                codeSystemName="RouteOfAdministration" displayName="Intramuscular injection"/>
+              <!-- QDM Attribute: Dose -->
+              <doseQuantity value="1"/>
+              <consumable>
+                <manufacturedProduct classCode="MANU">
+                  <!-- Conforms to C-CDA R2.1 Immunization Medication Information (V2) -->
+                  <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
+                  <id root="37bfe02a-3e97-4bd6-9197-bbd0ed0de79e"/>
+                  <manufacturedMaterial>
+                    <code code="33" codeSystem="2.16.840.1.113883.12.292"
+                      displayName="Pneumococcal polysaccharide vaccine" codeSystemName="CVX"/>
+                    <lotNumberText>1</lotNumberText>
+                  </manufacturedMaterial>
+                </manufacturedProduct>
+              </consumable>
+              <author>
+                <templateId root="2.16.840.1.113883.10.20.24.3.155" extension="2017-08-01"/>
+                <time value="201704081130"/>
+                <assignedAuthor>
+                  <id nullFlavor="NA"/>
+                </assignedAuthor>
+              </author> 
+            </substanceAdministration>
+          </entry>
+          <entry>
+          <!-- Participation -->
+          <observation classCode="OBS" moodCode="EVN">
+            <!-- Patient Characteristic Coverage Type -->
+            <templateId root="2.16.840.1.113883.10.20.24.3.154" extension="2017-08-01"/>
+            <id root="94de1700-9629-40b4-b56d-a4eac5f48726"/>
+            <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
+            <statusCode code="completed"/>
+            <effectiveTime>
+              <low value="201706151030"/>
+            </effectiveTime>
+            <!-- Patient Characteristic -->
+            <value xsi:type="CD" code="MENTPRG" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"
+              displayName="Mental Health Program"/>
+          </observation>
+          </entry>
+        </section>
+      </component>
+    </structuredBody>
+  </component>
+
+</ClinicalDocument>
diff --git a/Schematrons/HL7 QRDA Category I/Templates/Fulfills V2/Fulfills V2 Subentry.sch b/Schematrons/HL7 QRDA Category I/Templates/Fulfills V2/Fulfills V2 Subentry.sch
index 0a7fc69..8bb0716 100644
--- a/Schematrons/HL7 QRDA Category I/Templates/Fulfills V2/Fulfills V2 Subentry.sch	
+++ b/Schematrons/HL7 QRDA Category I/Templates/Fulfills V2/Fulfills V2 Subentry.sch	
@@ -8,23 +8,23 @@
     <sch:ns prefix="cda" uri="urn:hl7-org:v3" />
     
     <sch:phase id="errors">
-        <sch:active pattern="Fulfills_V2-pattern-errors" />
+        <sch:active pattern="Fulfills-pattern-errors" />
     </sch:phase>
     
-    <sch:pattern id="Fulfills_V2-pattern-errors">
-        <sch:rule id="Fulfills_V2-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.126'][@extension='2016-08-01']]">
+    <sch:pattern id="Fulfills-pattern-errors">
+        <sch:rule id="Fulfills-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.126'][@extension='2016-08-01']]">
             <sch:assert id="a-3265-28381-error" test="@typeCode='FLFS'">SHALL contain exactly one [1..1] @typeCode="FLFS" Fulfills (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:3265-28381). </sch:assert>
             <sch:assert id="a-3265-28379-error" test="count(sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.126'][@extension='2016-08-01'])=1">SHALL contain exactly one [1..1] sdtc:templateId (CONF:3265-28379) such that it  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.126" (CONF:3265-28382).  SHALL contain exactly one [1..1] @extension="2014-12-01" (CONF:3265-28383). </sch:assert>
             <sch:assert id="a-3265-28380-error" test="count(sdtc:actReference)=1">SHALL contain exactly one [1..1] sdtc:actReference (CONF:3265-28380).</sch:assert>
         </sch:rule>
         
-        <sch:rule id="Fulfills_V2-actReference-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.126'][@extension='2016-08-01']]/sdtc:actReference">
+        <sch:rule id="Fulfills-actReference-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.126'][@extension='2016-08-01']]/sdtc:actReference">
             <sch:assert id="a-3265-28384-error" test="@classCode">This sdtc:actReference SHALL contain exactly one [1..1] @classCode (CONF:3265-28384).</sch:assert>
             <sch:assert id="a-3265-28385-error" test="@moodCode">This sdtc:actReference SHALL contain exactly one [1..1] @moodCode (CONF:3265-28385).</sch:assert>
             <sch:assert id="a-3265-28386-error" test="count(sdtc:id)&gt;=1">This sdtc:actReference SHALL contain at least one [1..*] sdtc:id (CONF:3265-28386).</sch:assert>
         </sch:rule>
         
-        <sch:rule id="Fulfills_V2-actReference-id-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.126'][@extension='2016-08-01']]/sdtc:actReference/sdtc:id">
+        <sch:rule id="Fulfills-actReference-id-errors" context="sdtc:inFulfillmentOf1[sdtc:templateId[@root='2.16.840.1.113883.10.20.24.3.126'][@extension='2016-08-01']]/sdtc:actReference/sdtc:id">
             <sch:assert id="a-3265-28690-error" test="@root">Such sdtc:ids SHALL contain exactly one [1..1] @root (CONF:3265-28690).</sch:assert>
             <sch:assert id="a-3265-28691-error" test="@extension">Such sdtc:ids SHALL contain exactly one [1..1] @extension (CONF:3265-28691).</sch:assert>
         </sch:rule>
diff --git a/Schematrons/HL7 QRDA Category I/Templates/Goal Observation/Goal Observation Entry.sch b/Schematrons/HL7 QRDA Category I/Templates/Goal Observation/Goal Observation Entry.sch
index 22d1a83..3733e46 100644
--- a/Schematrons/HL7 QRDA Category I/Templates/Goal Observation/Goal Observation Entry.sch	
+++ b/Schematrons/HL7 QRDA Category I/Templates/Goal Observation/Goal Observation Entry.sch	
@@ -17,7 +17,6 @@
 			<sch:assert id="a-1098-32332-error" test="count(cda:id) &gt; 0">SHALL contain at least one [1..*] id (CONF:1098-32332).</sch:assert>
 			<sch:assert id="a-1098-30784-error" test="count(cda:code) = 1">SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-30784).</sch:assert>
 			<sch:assert id="a-1098-32333-error" test="count(cda:statusCode) = 1">SHALL contain exactly one [1..1] statusCode (CONF:1098-32333).</sch:assert>
-			<sch:assert id="a-1098-30995-error" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) = 1">SHALL contain at least one [1..*] author (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-30995).</sch:assert>
 		</sch:rule>
 		<sch:rule id="Goal_Observation-statusCode-errors" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.121']]/cda:statusCode">
 			<sch:assert id="a-1098-32334-error" test="@code='active'">This statusCode SHALL contain exactly one [1..1] @code="active" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32334).</sch:assert>
@@ -35,6 +34,7 @@
 
 		<sch:rule id="Goal_Observation-warnings" context="cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.121']]">
 			<sch:assert id="a-1098-32335-warning" test="count(cda:effectiveTime) = 1">SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-32335).</sch:assert>
+			<sch:assert id="a-1098-30995-warning" test="count(cda:author[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.119']]) &gt;= 1">SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-30995).</sch:assert>
 			<sch:assert id="a-1098-30785-warning" test="count(cda:entryRelationship[@typeCode='REFR'][cda:observation[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.143']]]) = 1">SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-30785) such that it SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30786). SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-30787).</sch:assert>
 		</sch:rule>
 	</sch:pattern>
diff --git a/Schematrons/HL7 QRDA Category I/Templates/Goal Observation/Goal Observation-ERRORS.xml b/Schematrons/HL7 QRDA Category I/Templates/Goal Observation/Goal Observation-ERRORS.xml
index 865e781..77a5450 100644
--- a/Schematrons/HL7 QRDA Category I/Templates/Goal Observation/Goal Observation-ERRORS.xml	
+++ b/Schematrons/HL7 QRDA Category I/Templates/Goal Observation/Goal Observation-ERRORS.xml	
@@ -5,21 +5,21 @@
     Author: Dan Donahue
     Date: 03-08-2017
 
-    Total Errors Expected: 10
+    Total Errors Expected: 9
 		Failure a-1098-30418-error SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-30418).
 		Failure a-1098-30419-error SHALL contain exactly one [1..1] @moodCode="GOL" Goal (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30419).
 		Failure a-1098-8583-error SHALL contain exactly one [1..1] templateId (CONF:1098-8583) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.121" (CONF:1098-10512).
 		Failure a-1098-32332-error SHALL contain at least one [1..*] id (CONF:1098-32332).
 		Failure a-1098-30784-error SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-30784).
 		Failure a-1098-32333-error SHALL contain exactly one [1..1] statusCode (CONF:1098-32333).
-		Failure a-1098-30995-error SHALL contain at least one [1..*] author (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-30995).
 		Failure a-1098-32334-error statusCode statusCode SHALL contain exactly one [1..1] @code="active" (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32334)
 		Failure a-1098-32755-error reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32755)
 		Failure a-1098-32756-error reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1098-32756)
 
-	Total Warnings Expected: 3
+	Total Warnings Expected: 4
 		Failure a-1098-30784-c-warning code SHALL contain exactly one [1..1] codeSystem, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-30784)
 		Failure a-1098-32335-warning SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-32335).
+		Failure a-1098-30995-warnign SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-30995).
 		Failure a-1098-30785-warning SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-30785) such that it
 					                 SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-30786).
 					                 SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-30787).
diff --git a/Schematrons/HL7 QRDA Category I/Templates/Status/Status Entry.sch b/Schematrons/HL7 QRDA Category I/Templates/Status/Status Entry.sch
index 442c97e..097cd49 100644
--- a/Schematrons/HL7 QRDA Category I/Templates/Status/Status Entry.sch	
+++ b/Schematrons/HL7 QRDA Category I/Templates/Status/Status Entry.sch	
@@ -16,7 +16,6 @@
             <sch:assert id="a-67-11879-error" test="@classCode='OBS'">SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:67-11879).</sch:assert>
             <sch:assert id="a-67-11880-error" test="@moodCode='EVN'">SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:67-11880).</sch:assert>
             <sch:assert id="a-67-11881-error" test="count(cda:templateId[@root='2.16.840.1.113883.10.20.24.3.93'][not(@extension)])=1">SHALL contain exactly one [1..1] templateId (CONF:67-11881) such that it SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.93" (CONF:67-11882).</sch:assert>
-            <sch:assert id="a-67-11884-error" test="count(cda:id) &gt;= 1">SHALL contain at least one [1..*] id (CONF:67-11884).</sch:assert>
             <sch:assert id="a-67-11885-error" test="count(cda:code)=1">SHALL contain exactly one [1..1] code (CONF:67-11885).</sch:assert>
             <sch:assert id="a-67-11887-error" test="count(cda:value)=1">SHALL contain exactly one [1..1] value (CONF:67-11887).</sch:assert>
          </sch:rule>
diff --git a/Schematrons/HL7 QRDA Category I/Templates/Status/Status-Errors.xml b/Schematrons/HL7 QRDA Category I/Templates/Status/Status-Errors.xml
index 43a5f8b..4a494c0 100644
--- a/Schematrons/HL7 QRDA Category I/Templates/Status/Status-Errors.xml	
+++ b/Schematrons/HL7 QRDA Category I/Templates/Status/Status-Errors.xml	
@@ -4,12 +4,12 @@
     Title: Status minimal sample file with errors
     Author: Dan Donahue
     Date: 10-12-2017
+     Update: 01-10-2018  Removed assertion test for <id> a-67-11884
  
-    Total Errors Expected: 8
+    Total Errors Expected: 7
           Failure a-67-11879-error Bad Class Code
           Failure a-67-11880-error Bad Mood Code 
           Failure a-67-11881-error Multiple  main templateId
-          Failure a-67-11884-error Missing id
           Failure a-67-11885-error Missing or multiple code
           Failure a-67-11886-error Missing or bad code  @code="33999-4"
           Failure a-67-27011-error Missing or bad code  @codeSystem="2.16.840.1.113883.6.1"
@@ -28,10 +28,6 @@
       <templateId root="2.16.840.1.113883.10.20.24.3.93"/>
       <!-- a-67-11881-error Multiple  main templateId -->
       <templateId root="2.16.840.1.113883.10.20.24.3.93"/>
-      <!-- a-67-11884-error Missing id -->
-      <!-- 
-        <id root="29b776d3-089b-4a7f-b6e9-e45080091922"/>
-      -->
       <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
         displayName="Status"/>
       <!-- a-67-11885-error Missing or multiple code -->
diff --git a/Schematrons/HL7 QRDA Category I/Templates/Status/Status-Good.xml b/Schematrons/HL7 QRDA Category I/Templates/Status/Status-Good.xml
index e6cf5b2..9a29d61 100644
--- a/Schematrons/HL7 QRDA Category I/Templates/Status/Status-Good.xml	
+++ b/Schematrons/HL7 QRDA Category I/Templates/Status/Status-Good.xml	
@@ -4,6 +4,7 @@
     Title: Status minimal sample file 
     Author: Dan Donahue
     Date: 10-12-2017
+    Update: 01-10-2018  Removed <id>
  
     Total Errors Expected: 0
                
@@ -15,7 +16,6 @@
   xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">\
   <observation classCode="OBS" moodCode="EVN">
     <templateId root="2.16.840.1.113883.10.20.24.3.93" />
-    <id root="29b776d3-089b-4a7f-b6e9-e45080091922" />
     <code code="33999-4" 
       codeSystem="2.16.840.1.113883.6.1" 
       codeSystemName="LOINC"