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{{{header}}}

{|class='wikitable' style='border-collapse; border:1px solid black;width:100%'
|-style='background-color:#cfcfcf;border:1px solid black;'
!Data Element
!CDA R2 xpath
!Optionality
!TemplateID
!Template Name
!Comment
|-
{{{elements}}}
|}

{{{If|{{{test{{{footer}}}|}}}|then={{{footer}}} }}}

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