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<Envelope xmlns="http://www.w3.org/2003/05/soap-envelope">
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<Header>
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<To xmlns="http://www.w3.org/2005/08/addressing">https://gazelle.ihe.net/PAMSimulator-ejb/PIXManager_Service/PIXManager_PortType</To>
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<MessageID xmlns="http://www.w3.org/2005/08/addressing">urn:uuid:1947d2a1-4a82-49e2-bb34-73f336172e02</MessageID>
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<ReplyTo xmlns="http://www.w3.org/2005/08/addressing">
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<Address>http://www.w3.org/2005/08/addressing/anonymous</Address>
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</ReplyTo>
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<Action xmlns="http://www.w3.org/2005/08/addressing" mustUnderstand="1">urn:hl7-org:v3:PRPA_IN201304UV02</Action>
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</Header>
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<Body>
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<PRPA_IN201304UV02 xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ITSVersion="XML_1.0">
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<id root="1.3.6.1.4.1.21367.2017.2.5.55"/>
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<creationTime value="20200305144043.845"/>
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<interactionId extension="PRPA_IN201304UV02" root="2.16.840.1.113883.1.6"/>
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<processingCode code="P"/>
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<processingModeCode code="T"/>
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<acceptAckCode code="AL"/>
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<receiver typeCode="RCV">
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<device classCode="DEV" determinerCode="INSTANCE">
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<id root="2.16.840.1.113883.3.72.6.5.100.1511"/>
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</device>
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</receiver>
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<sender typeCode="SND">
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<device classCode="DEV" determinerCode="INSTANCE">
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<id root="1.3.6.1.4.1.21367.2017.2.5.55"/>
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</device>
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</sender>
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<controlActProcess classCode="CACT" moodCode="EVN">
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<code code="PRPA_TE201304UV02" codeSystem="2.16.840.1.113883.1.6"/>
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<subject contextConductionInd="false" typeCode="SUBJ">
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<registrationEvent classCode="REG" moodCode="EVN">
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<id nullFlavor="NA"/>
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<statusCode code="active"/>
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<subject1 typeCode="SBJ">
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<patient classCode="PAT">
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<id extension="456789" root="2.16.840.1.113883.3.72.5.9.1"/>
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<statusCode code="active"/>
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<patientPerson classCode="PSN" determinerCode="INSTANCE">
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<name>
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<given>MARY</given>
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<family>LINCOLN</family>
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</name>
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<administrativeGenderCode code="F"/>
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<birthTime value="19771208"/>
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<addr>
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<streetAddressLine>100 JORIE BLVD</streetAddressLine>
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<city>IL 60523</city>
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</addr>
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</patientPerson>
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<providerOrganization classCode="ORG" determinerCode="INSTANCE">
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<id root="2.16.840.1.113883.3.72.5.9.1"/>
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<contactParty classCode="CON">
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<telecom value="000-0000-0000"/>
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</contactParty>
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</providerOrganization>
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</patient>
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</subject1>
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<custodian typeCode="CST">
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<assignedEntity classCode="ASSIGNED">
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<id root="1.3.6.1.4.1.21367.2017.2.5.55"/>
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</assignedEntity>
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</custodian>
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<replacementOf typeCode="RPLC">
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<priorRegistration classCode="REG" moodCode="EVN">
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<statusCode code="obsolete"/>
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<subject1 typeCode="SBJ">
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<priorRegisteredRole classCode="PAT">
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<id extension="123456" root="2.16.840.1.113883.3.72.5.9.1"/>
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</priorRegisteredRole>
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</subject1>
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</priorRegistration>
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</replacementOf>
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<replacementOf typeCode="RPLC">
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<priorRegistration classCode="REG" moodCode="EVN">
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<statusCode code="obsolete"/>
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<subject1 typeCode="SBJ">
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<priorRegisteredRole classCode="PAT">
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<id extension="6546546546134556" root="2.16.840.1.113883.3.72.5.9.1"/>
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</priorRegisteredRole>
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</subject1>
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</priorRegistration>
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</replacementOf>
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</registrationEvent>
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</subject>
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</controlActProcess>
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</PRPA_IN201304UV02>
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</Body>
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</Envelope>
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