<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>
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                <rim:Name>
                    <rim:LocalizedString value="XDS Submission Set"/>
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                        <rim:LocalizedString value="Operative"/>
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                        <rim:LocalizedString value="XDSSubmissionSet.patientId"/>
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                        <rim:Value>en-us</rim:Value>
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                    <rim:ValueList>
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                <rim:Slot name="urn:ihe:iti:xds:2013:referenceIdList">
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                        <rim:Value>20140114111104</rim:Value>
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                    <rim:Name>
                        <rim:LocalizedString value="BLOOD BANK STUDIES"/>
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                    <rim:Name>
                        <rim:LocalizedString value="Laboratory Result Report"/>
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                <rim:Classification
                    classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead"
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                    <rim:Name>
                        <rim:LocalizedString value="Laboratory"/>
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                <rim:ExternalIdentifier id="urn:uuid:36915d69-958f-4d2b-9094-1582f90bb666"
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                        <rim:LocalizedString value="XDSDocumentEntry.uniqueId"/>
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                        <rim:LocalizedString value="XDSDocumentEntry.patientId"/>
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                        <rim:Value>Original</rim:Value>
                    </rim:ValueList>
                </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>