<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:epsos="urn:epsos-org:ep:medication" xmlns="urn:hl7-org:v3">
    <realmCode code="US"/>
    <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
    <templateId root="2.16.840.1.113883.10.20.22.1.1"/>
    <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.1.1"/>
    <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/>
    <id extension="1504292045711" root="1.21"/>
    <code code="57833-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ePrescription"/>
    <title>ePrescription</title>
    <effectiveTime xsi:type="IVL_TS">
        <low value="20150429"/>
        <high value="20151009"/>
    </effectiveTime>
    <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
    <languageCode code="en"/>
    <recordTarget contextControlCode="OP" typeCode="RCT">
        <patientRole>
            <id extension="01018022432" root="1.10.1"/>
            <id extension="2" root="1.10.30.1"/>
            <id extension="Insurance" root="1.10.30.2"/>
            <id extension="3165936" root="1.10.2"/>
            <id extension="Main" root="1.20.1"/>
            <id extension="20150528" root="1.30.1"/>
            <id extension="20160229" root="1.30.2"/>
            <addr>
                <streetAddressLine>My Address</streetAddressLine>
                <city>My city</city>
                <postalCode>12345</postalCode>
                <state>My State</state>
                <country>EU</country>
            </addr>
            <telecom use="MC" value="tel:+2222222222"/>
            <telecom use="HP" value="mailto:testasssb@alon.com3"/>
            <patient>
                <name>
                    <given>FirstName</given>
                    <family>SecondName</family>
                </name>
                <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>
                <birthTime value="19650101"/>
                <raceCode nullFlavor="NA"/>
                <ethnicGroupCode nullFlavor="NA"/>
                <languageCommunication>
                    <templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.1"/>
                    <languageCode code="en-US"/>
                </languageCommunication>
            </patient>
        </patientRole>
    </recordTarget>
</ClinicalDocument>