<xdsb:ProvideAndRegisterDocumentSetRequest 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:xdsb="urn:ihe:iti:xds-b:2007"
    xmlns:xop="http://www.w3.org/2004/08/xop/include">
    <lcm:SubmitObjectsRequest>
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                <rim:Slot name="submissionTime">
                    <rim:ValueList>
                        <rim:Value>20140114111955</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Name>
                    <rim:LocalizedString value="XDS Submission Set"/>
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                    <rim:Slot name="codingScheme">
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                            <rim:Value>Connect-a-thon contentTypeCodes</rim:Value>
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                    <rim:Name>
                        <rim:LocalizedString value="Operative"/>
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                        <rim:LocalizedString value="XDSSubmissionSet.patientId"/>
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                    <rim:ValueList>
                        <rim:Value>en-us</rim:Value>
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                        <rim:Value>20130408030652</rim:Value>
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                <rim:Slot name="creationTime">
                    <rim:ValueList>
                        <rim:Value>20140114111104</rim:Value>
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                <rim:Name>
                    <rim:LocalizedString value="Laboratory XDSDocument Entry 1"/>
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                    <rim:Name>
                        <rim:LocalizedString value="Hospital (environment)"/>
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                    <rim:Name>
                        <rim:LocalizedString value="Procollagen peptide.type 1 [Mass/volume] in Serum"/>
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                <rim:Classification
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                    id="urn:uuid:50b2844e-bad8-4f24-8afd-ea58653c6b4b"
                    nodeRepresentation="urn:ksa-ehealth:lab:order:2013"
                    objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:Classification">
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                            <rim:Value>2.16.840.1.113883.3.3731.1.203.14</rim:Value>
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                    <rim:Name>
                        <rim:LocalizedString value="Laboratory Order"/>
                    </rim:Name>
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                    classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead"
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                        <rim:LocalizedString value="Laboratory"/>
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                            <rim:Value>2.16.840.1.113883.6.1</rim:Value>
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                    <rim:Name>
                        <rim:LocalizedString value="Blood Banking"/>
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                </rim:Classification>
                <rim:Classification
                    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
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                    <rim:Name>
                        <rim:LocalizedString value="Order was canceled"/>
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                <rim:ExternalIdentifier id="urn:uuid:36915d69-958f-4d2b-9094-1582f90bb666"
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                    <rim:Name>
                        <rim:LocalizedString value="XDSDocumentEntry.uniqueId"/>
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                    identificationScheme="urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427"
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                        <rim:LocalizedString value="XDSDocumentEntry.patientId"/>
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                <rim:Slot name="SubmissionSetStatus">
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                        <rim:Value>Original</rim:Value>
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                </rim:Slot>
            </rim:Association>
        </rim:RegistryObjectList>
    </lcm:SubmitObjectsRequest>
    <xdsb:Document id="urn:uuid:520d1e56-8936-467f-8bd3-815c10dcc0f2">
        <xop:Include href="cid:1.urn:uuid:520D1E568936467F8BD3815C10DCC0F2@ws.jboss.org"/>
    </xdsb:Document>
</xdsb:ProvideAndRegisterDocumentSetRequest>