<?xml version="1.0" encoding="UTF-8"?>
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<s:Header>
<a:Action s:mustUnderstand="true">urn:hl7-org:v3:PRPA_IN201305UV02:CrossGatewayPatientDiscovery</a:Action>
<a:MessageID>urn:uuid:36b0f3e9-b17e-4855-afaa-a2e446d6bd61</a:MessageID>
<a:ReplyTo>
<a:Address>http://www.w3.org/2005/08/addressing/anonymous</a:Address>
</a:ReplyTo>
<a:To s:mustUnderstand="true">https://validation.sequoiaproject.org:14430/PAMSimulator-ejb/RespondingGateway_Service/RespondingGateway_PortType?wsdl</a:To>
<a:From a:IsReferenceParameter="true">
<a:Address>urn:oid:2.16.840.1.113883.3.5958.1000.2.300</a:Address>
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<wsse:Security>
<wsu:Timestamp wsu:Id="_7df908ea-b078-465d-830d-16c66a86ce1a">
<wsu:Created>2026-04-15T17:07:06.340Z</wsu:Created>
<wsu:Expires>2026-04-15T17:12:06.340Z</wsu:Expires>
</wsu:Timestamp>
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<saml:Issuer Format="urn:oasis:names:tc:SAML:1.1:nameid-format:X509SubjectName">C=US, O=CommonWell, OU=RCE-TEST, CN=tefca-cw-validation.lkopera.com</saml:Issuer>
<Signature xmlns="http://www.w3.org/2000/09/xmldsig#">
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<DigestMethod Algorithm="http://www.w3.org/2001/04/xmlenc#sha256"/>
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<ds:RSAKeyValue>
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<saml:Attribute Name="urn:oasis:names:tc:xspa:1.0:subject:organization">
<saml:AttributeValue>Health 100 Personal Health Records, L.L.C</saml:AttributeValue>
</saml:Attribute>
<saml:Attribute Name="urn:oasis:names:tc:xspa:1.0:subject:organization-id">
<saml:AttributeValue>urn:oid:2.16.840.1.113883.3.5958.1000.2.300</saml:AttributeValue>
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<saml:Attribute Name="urn:nhin:names:saml:homeCommunityId">
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<saml:Attribute Name="urn:ihe:iti:xca:2010:homeCommunityId">
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<saml:Attribute Name="urn:oasis:names:tc:xacml:2.0:subject:role">
<saml:AttributeValue>
<Role xmlns="urn:hl7-org:v3" code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED_CT" displayName="Patient" xsi:type="CE"></Role>
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<saml:Attribute Name="csp">
<saml:AttributeValue xmlns:xs="http://www.w3.org/2001/XMLSchema" xsi:type="xs:string">https://verified.clearme.com/integrations</saml:AttributeValue>
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<saml:Attribute Name="validated_attributes">
<saml:AttributeValue xmlns:xs="http://www.w3.org/2001/XMLSchema" xsi:type="xs:string">fname,lname,mname,dob,sex,address,city,state,zip,country,phone,email,hstate,hstate2</saml:AttributeValue>
</saml:Attribute>
<saml:Attribute Name="id_token" NameFormat="oasis:names:tc:SAML:2.0:cm:bearer">
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<id extension="35423" root="1.2.840.114350.1.13.0.1.7.1.1"/>
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<interactionId extension="PRPA_IN201305UV02" root="2.16.840.1.113883.1.6"/>
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<receiver typeCode="RCV">
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<asAgent classCode="AGNT">
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<device classCode="DEV" determinerCode="INSTANCE">
<id root="2.16.840.1.113883.3.5958.1000.2.300"/>
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<id root="2.16.840.1.113883.3.5958.1000.2.300"/>
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<authorOrPerformer typeCode="AUT">
<assignedDevice classCode="ASSIGNED">
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<semanticsText>LivingSubject.administrativeGender</semanticsText>
</livingSubjectAdministrativeGender>
<livingSubjectBirthTime>
<value value="19750209"/>
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</livingSubjectBirthTime>
<livingSubjectName>
<value>
<given>HOMER</given>
<given>J</given>
<family>SIMPSON</family>
</value>
<semanticsText>LivingSubject.name</semanticsText>
</livingSubjectName>
<patientAddress>
<value>
<streetAddressLine>742 EVERGREEN TERRACE</streetAddressLine>
<city>MADISON</city>
<state>WI</state>
<postalCode>53711</postalCode>
<country>US</country>
</value>
<value>
<streetAddressLine/>
<city/>
<state>NJ</state>
<postalCode/>
<country/>
</value>
<value>
<streetAddressLine/>
<city/>
<state>NJ</state>
<postalCode/>
<country/>
</value>
<semanticsText>Patient.addr</semanticsText>
</patientAddress>
<patientTelecom>
<value use="HP" value="+12171233608"/>
<value use="HP" value="hsimpson@gmail.com"/>
<semanticsText>Patient.telecom</semanticsText>
</patientTelecom>
</parameterList>
</queryByParameter>
</controlActProcess>
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