Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
<act xmlns="urn:hl7-org:v3" moodCode="INT" classCode="ACT">
<templateId root="2.16.840.1.113883.10.20.22.4.129" extension="2024-05-01"/>
<id root="03f5e10b-7e79-4610-9626-d2984ff10cc1"/>
<code displayName="Payment Sources" codeSystemName="LOINC"
codeSystem="2.16.840.1.113883.6.1" code="52556-8"/>
<statusCode code="active"/>
<entryRelationship typeCode="COMP">
<act moodCode="INT" classCode="ACT">
<!-- These act/identifiers are unique identifiers
for the policy or program providing the coverage. -->
<id root="4c9a3be1-5f09-46dd-88e7-14c8ec612e4c"/>
<code displayName="Medicare PPO"
codeSystemName="Source of Payment Typology (PHDSC)" codeSystem="2.16.840.1.113883.3.221.5" code="112"/>
<statusCode code="active"/>
</act>
</entryRelationship>
</act>