<lcm:SubmitObjectsRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
                          xmlns:lcm="urn:oasis:names:tc:ebxml-regrep:xsd:lcm:3.0"
                          xmlns:rim="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0"
                          xmlns:rs="urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0"
                          xmlns="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0">
   <RegistryObjectList>
      <ExtrinsicObject mimeType="text/xml"
                       objectType="urn:uuid:7edca82f-054d-47f2-a032-9b2a5b5186c1"
                       id="Document01">
         <Slot name="creationTime">
            <ValueList>
               <Value>2013082818181102+0000</Value>
            </ValueList>
         </Slot>
         <Slot name="languageCode">
            <ValueList>
               <Value>en-US</Value>
            </ValueList>
         </Slot>
         <Slot name="sourcePatientId">
            <ValueList>
               <Value>PatientID^^^&amp;2.16.840.1.113883.3.467&amp;ISO</Value>
            </ValueList>
         </Slot>
         <Slot name="sourcePatientInfo">
            <ValueList>
               <Value>PID-3|PatientID^^^&amp;2.16.840.1.113883.3.467&amp;ISO</Value>
               <Value>PID-5|FamilyName^FirstName^^^</Value>
               <Value>PID-7|19840704</Value>
               <Value>PID-8|F</Value>
               <Value>PID-11|First Address Line^^CityName^StateName^ZipCode(5or9)^USA</Value>
            </ValueList>
         </Slot>
         <Slot name="authorTelecommunication">
            <ValueList>
               <Value>^^Internet^sender@email.com</Value>
            </ValueList>
         </Slot>
         <Slot name="intendedRecipient">
            <ValueList>
               <Value>^^Internet^recepient@email.com</Value>
            </ValueList>
         </Slot>
         <Slot name="urn:siframework.org:ds4p:purposeofuse">
            <ValueList>
               <Value>TREATMENT</Value>
            </ValueList>
         </Slot>
         <Slot name="urn:siframework.org:ds4p:obligationpolicy">
            <ValueList>
               <Value observationId="d11275e7-67ae-11db-bd13-0800200c9a66">ENCRYPT</Value>
            </ValueList>
         </Slot>
         <Slot name="urn:siframework.org:ds4p:refrainpolicy">
            <ValueList>
               <Value observationId="d11275e7-67ae-11db-bd13-0800200c9a66">NORDSLCD</Value>
            </ValueList>
         </Slot>
         <Slot name="urn:siframework.org:ds4p:sensitivitypolicy">
            <ValueList>
               <Value observationId="d11275e7-67ae-11db-bd13-0800200c9a66">HIV</Value>
            </ValueList>
         </Slot>
         <Slot name="urn:siframework.org:ds4p:usprivacylaw">
            <ValueList>
               <Value observationId="d11275e7-67ae-11db-bd13-0800200c9a66">42CFRPart2</Value>
            </ValueList>
         </Slot>
         <Name>
            <LocalizedString value="Clinic Personal Health Record Extract"/>
         </Name>
         <Description/>
         <Classification classificationScheme="urn:uuid:93606bcf-9494-43ec-9b4e-a7748d1a838d"
                         classifiedObject="Document01"
                         id="cl01">
            <Slot name="authorPerson">
               <ValueList>
                  <Value>100010020002^^^&amp;2.16.840.1.113883.3.467&amp;ISO</Value>
               </ValueList>
            </Slot>
            <Slot name="authorInstitution">
               <ValueList>
                  <Value>
									XYZ
									Clinic
								</Value>
               </ValueList>
            </Slot>
            <Slot name="authorRole">
               <ValueList>
                  <Value>Provider</Value>
               </ValueList>
            </Slot>
            <Slot name="authorSpecialty">
               <ValueList>
                  <Value>General Medicine</Value>
               </ValueList>
            </Slot>
         </Classification>
         <Classification id="cl02"
                         classificationScheme="urn:uuid:41a5887f-8865-4c09-adf7-e362475b143a"
                         classifiedObject="Document01"
                         nodeRepresentation="11488-4">
            <Slot name="codingScheme">
               <ValueList>
                  <Value>HITSP C80, version 2.0.1, table 2-144</Value>
               </ValueList>
            </Slot>
            <Name>
               <LocalizedString value="Consult Note"/>
            </Name>
         </Classification>
         <Classification id="cl03"
                         classificationScheme="urn:uuid:f4f85eac-e6cb-4883-b524-f2705394840f"
                         classifiedObject="Document01"
                         nodeRepresentation="">
            <Slot name="codingScheme">
               <ValueList>
                  <Value>2.16.840.1.113883.5.25</Value>
               </ValueList>
            </Slot>
            <Name>
               <LocalizedString value=""/>
            </Name>
         </Classification>
         <Classification id="cl04"
                         classificationScheme="urn:uuid:a09d5840-386c-46f2-b5ad-9c3699a4309d"
                         classifiedObject="Document01"
                         nodeRepresentation="urn:ihe:pcc:xphr:2007">
            <Slot name="codingScheme">
               <ValueList>
                  <Value>HITSP C80, version 2.0.1, table 2-152</Value>
               </ValueList>
            </Slot>
            <Name>
               <LocalizedString value="HL7 CCD Document"/>
            </Name>
         </Classification>
         <Classification id="cl05"
                         classificationScheme="urn:uuid:f33fb8ac-18af-42cc-ae0e-ed0b0bdb91e1"
                         classifiedObject="Document01"
                         nodeRepresentation="14866005">
            <Slot name="codingScheme">
               <ValueList>
                  <Value>HITSP C80, version 2.0.1, table 2-146</Value>
               </ValueList>
            </Slot>
            <Name>
               <LocalizedString value="Hospital outpatient mental health center"/>
            </Name>
         </Classification>
         <Classification id="cl06"
                         classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead"
                         classifiedObject="Document01"
                         nodeRepresentation="394587001">
            <Slot name="codingScheme">
               <ValueList>
                  <Value>HITSP C80, version 2.0.1, table 2-149</Value>
               </ValueList>
            </Slot>
            <Name>
               <LocalizedString value="Psychiatry"/>
            </Name>
         </Classification>
         <Classification id="cl07"
                         classificationScheme="urn:uuid:f0306f51-975f-434e-a61c-c59651d33983"
                         classifiedObject="Document01"
                         nodeRepresentation="34133-9">
            <Slot name="codingScheme">
               <ValueList>
                  <Value>LOINC</Value>
               </ValueList>
            </Slot>
            <Name>
               <LocalizedString value="Summarization of episode note"/>
            </Name>
         </Classification>
         <Classification id="c108"
                         classificationScheme="urn:uuid:f33fb8ac-18af-42cc-ae0e-ed0b0bdb91e1"
                         classifiedObject="Document01"
                         objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:Classification"
                         nodeRepresentation="20078004">
            <Name>
               <LocalizedString value="Substance abuse treatment center"/>
            </Name>
            <Slot name="codingScheme">
               <ValueList>
                  <Value>HITSP C80, version 2.0.1, table 2-146</Value>
               </ValueList>
            </Slot>
         </Classification>
         <ExternalIdentifier registryObject="Document01"
                             identificationScheme="urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427"
                             value="111111111^^&amp;2.16.840.1.113883.4.1&amp;ISO"
                             id="ei01">
            <Name>
               <LocalizedString value="XDSDocumentEntry.patientId"/>
            </Name>
         </ExternalIdentifier>
         <ExternalIdentifier registryObject="Document01"
                             identificationScheme="urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab"
                             value="1.3.6.1.4.1.21367.2005.3.9999.32"
                             id="ei02">
            <Name>
               <LocalizedString value="XDSDocumentEntry.uniqueId"/>
            </Name>
         </ExternalIdentifier>
      </ExtrinsicObject>
      <RegistryPackage id="SubmissionSet">
         <Slot name="submissionTime">
            <ValueList>
               <Value>2013082818181102+0000</Value>
            </ValueList>
         </Slot>
         <Name>
            <LocalizedString value="Submission Set"/>
         </Name>
         <Description>
            <LocalizedString value="This Submission Set contains a Clinical Exchange Document"/>
         </Description>
         <Classification id="cl09"
                         classificationScheme="urn:uuid:a7058bb9-b4e4-4307-ba5b-e3f0ab85e12d"
                         classifiedObject="SubmissionSet"
                         nodeRepresentation="">
            <Slot name="authorPerson">
               <ValueList>
                  <Value>100010020002^^^&amp;2.16.840.1.113883.3.467&amp;ISO</Value>
               </ValueList>
            </Slot>
            <Slot name="authorInstitution">
               <ValueList>
                  <Value>
									XYZ
									Clinic
								</Value>
               </ValueList>
            </Slot>
            <Slot name="authorRole">
               <ValueList>
                  <Value>Provider</Value>
               </ValueList>
            </Slot>
            <Slot name="authorSpecialty">
               <ValueList>
                  <Value>General Medicine</Value>
               </ValueList>
            </Slot>
         </Classification>
         <Classification id="cl10"
                         classificationScheme="urn:uuid:aa543740-bdda-424e-8c96-df4873be8500"
                         classifiedObject="SubmissionSet"
                         nodeRepresentation="34133-9">
            <Slot name="codingScheme">
               <ValueList>
                  <Value>LOINC</Value>
               </ValueList>
            </Slot>
            <Name>
               <LocalizedString value="Summarization of episode note"/>
            </Name>
         </Classification>
         <ExternalIdentifier id="ei03"
                             registryObject="SubmissionSet"
                             identificationScheme="urn:uuid:96fdda7c-d067-4183-912e-bf5ee74998a8"
                             value="1.3.6.1.4.1.22812.5.998723538.0.1.421030037.1">
            <Name>
               <LocalizedString value="XDSSubmissionSet.uniqueId"/>
            </Name>
         </ExternalIdentifier>
         <ExternalIdentifier id="ei04"
                             registryObject="SubmissionSet"
                             identificationScheme="urn:uuid:554ac39e-e3fe-47fe-b233-965d2a147832"
                             value="1.3.6.1.4.1.21367.13.2015">
            <Name>
               <LocalizedString value="XDSSubmissionSet.sourceId"/>
            </Name>
         </ExternalIdentifier>
         <ExternalIdentifier id="ei05"
                             registryObject="SubmissionSet"
                             identificationScheme="urn:uuid:6b5aea1a-874d-4603-a4bc-96a0a7b38446"
                             value="">
            <Name>
               <LocalizedString value="XDSSubmissionSet.patientId"/>
            </Name>
         </ExternalIdentifier>
      </RegistryPackage>
      <Classification id="cl11"
                      classifiedObject="SubmissionSet"
                      classificationNode="urn:uuid:a54d6aa5-d40d-43f9-88c5-b4633d873bdd"/>
      <Association id="as01"
                   associationType="urn:oasis:names:tc:ebxml-regrep:AssociationType:HasMember"
                   sourceObject="SubmissionSet"
                   targetObject="Document01">
         <Slot name="SubmissionSetStatus">
            <ValueList>
               <Value>Original</Value>
            </ValueList>
         </Slot>
      </Association>
   </RegistryObjectList>
</lcm:SubmitObjectsRequest>

