<?xml version="1.0" encoding="utf-8"?>
<PreEncounterReport ReportType="Load" SPA="DMH Use Only">
   <SenderData ProviderName="Pathways" ProviderETIN="XXX123" BatchNumber="yyyy0907-####" />
   <DocumentFunction DocumentNumber="yyyy0907-####-001" DocumentFunction="1" DMHID="######" Status="Loaded" />
</PreEncounterReport>