<entry>
    <act classCode="ACT" moodCode="EVN" {{{negation_ind}}}>
        <templateId root="2.16.840.1.113883.10.20.24.3.156" extension="2019-12-01"/>
        <id root="1.3.6.1.4.1.115" extension="{{object_id}}"/>
        {{#category}}
          <!-- QDM Attribute: Category -->
          <code {{> _code}}/>
        {{/category}}
        {{^category}}
          <!-- QDM Attribute: Category -->
          <code nullFlavor="UNK"/>
        {{/category}}
        <statusCode code="completed"/>
        <effectiveTime>
          <!-- QDM Attribute: Sent dateTime -->
          {{{sent_date_time}}}
          <!-- QDM Attribute: Received dateTime -->
          {{{received_date_time}}}
        </effectiveTime>
        {{#authorDatetime}}
          <!-- QDM Attribute: Author dateTime -->
          {{> qrda_templates/template_partials/_author}}
        {{/authorDatetime}}
        {{#recipient}}
        <participant typeCode="IRCP">
          <!-- QDM Attribute: Recipient -->
          {{> qrda_templates/template_partials/_entity}}
        </participant>
        {{/recipient}}
        {{#sender}}
        <participant typeCode="AUT">
          <!-- QDM Attribute: Sender -->
          {{> qrda_templates/template_partials/_entity}}
        </participant>
        {{/sender}}
        {{#medium}}
        <participant typeCode="VIA">
            <participantRole>
                <!-- QDM Attribute: Medium -->
                <code {{> _code}}/>
            </participantRole>
        </participant>
        {{/medium}}
        {{#negationRationale}}
          <!-- QDM Attribute: Negation Rationale -->
          {{> qrda_templates/template_partials/_reason}}
        {{/negationRationale}}
        <entryRelationship typeCode="REFR">
          <observation classCode="OBS" moodCode="EVN">
            <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2017-08-01"/>
            <code code="77301-0" codeSystem="2.16.840.1.113883.6.1" displayName="reason" codeSystemName="LOINC"/>
            <statusCode code="completed"/>
            <!-- QDM Attribute: Code -->
            {{> qrda_templates/template_partials/_data_element_codes_as_values}}
          </observation>
        </entryRelationship>
        {{#relatedTo}}
          <!-- QDM Attribute: relatedTo -->
          {{> qrda_templates/template_partials/_related_to}}
        {{/relatedTo}}
    </act>
</entry>