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        <created value="2024-12-10T00:00:00.0Z"/>
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    <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/520"/>
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            <issue>
              <severity value="error"/>
              <code value="processing"/>
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                  <system value="http://example.org/CodeSystem/plan-definition-action-reason-code-system"/>
                  <code value="excludedornotincluded"/>
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              <diagnostics value="Excluded or not included"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-messages">
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        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
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          <display value="Joanne Smith"/>
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