<entry>

<!-- Patient Characteristic Payer -->
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
  <id root="{{random_id}}"/> 
  <code code="48768-6" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" displayName="Payment source"/> 
  <statusCode code="completed"/>
  {{#relevantPeriod}}
    <!-- QDM Attribute: Relevant Period -->
    {{{relevant_period}}}
  {{/relevantPeriod}}
  {{> qrda_templates/template_partials/_data_element_codes_as_values}}
</observation>

</entry>