diff --git a/xml/CDA-ccda.xml b/xml/CDA-ccda.xml
index 648dda56b..8992d50a1 100644
--- a/xml/CDA-ccda.xml
+++ b/xml/CDA-ccda.xml
@@ -1,7 +1,8 @@
 <?xml version="1.0" encoding="UTF-8"?>
-<specification xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ballotUrl="http://hl7.org/cda/us/ccda/2024Jan" ciUrl="http://build.fhir.org/ig/HL7/CDA-ccda" defaultVersion="3.0.0-ballot" defaultWorkgroup="sd" url="http://hl7.org/cda/us/ccda">
-<version code="current" url="http://build.fhir.org/ig/HL7/CDA-ccda-2.1-sd"/>
-<version code="3.0.0-ballot" url="http://hl7.org/cda/us/ccda/2024Jan"/>
+<specification xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ballotUrl="http://hl7.org/cda/us/ccda/2024Jan" ciUrl="http://build.fhir.org/ig/HL7/CDA-ccda" defaultVersion="3.0.0" defaultWorkgroup="sd" url="http://hl7.org/cda/us/ccda">
+<version code="current" url="http://build.fhir.org/ig/HL7/CDA-ccda"/>
+<version code="3.0.0" url="https://hl7.org/cda/us/ccda"/>
+<version code="3.0.0-ballot" deprecated="true" url="http://hl7.org/cda/us/ccda/2024Jan"/>
 <version code="2.1.0-draft1" deprecated="true" url="http://hl7.org/cda/stds/ccda/draft1"/>
 <version code="2.1.0.8" deprecated="true"/>
 <version code="2.1.0.7" deprecated="true"/>
@@ -40,7 +41,10 @@
 <artifact id="StructureDefinition/AllergyIntoleranceObservation" key="StructureDefinition-AllergyIntoleranceObservation" name="Allergy - Intolerance Observation"/>
 <artifact id="StructureDefinition/AllergyConcernAct" key="StructureDefinition-AllergyConcernAct" name="Allergy Concern Act"/>
 <artifact id="Binary/allergy-concern-act-example" key="Binary-allergy-concern-act-example" name="Allergy Concern Act Example"/>
-<artifact id="Binary/allergy-intolerance-observation-example" key="Binary-allergy-intolerance-observation-example" name="Allergy Intolerance Observation Example"/>
+<artifact id="Binary/allergy-intolerance-observation-drugclass-example" key="Binary-allergy-intolerance-observation-drugclass-example" name="Allergy Intolerance Observation Drug Class Example"/>
+<artifact deprecated="true" id="Binary/allergy-intolerance-observation-example" key="Binary-allergy-intolerance-observation-example" name="Allergy Intolerance Observation Example"/>
+<artifact id="Binary/allergy-intolerance-observation-medication-example" key="Binary-allergy-intolerance-observation-medication-example" name="Allergy Intolerance Observation Medication Example"/>
+<artifact id="Binary/allergy-intolerance-observation-nonmedication-example" key="Binary-allergy-intolerance-observation-nonmedication-example" name="Allergy Intolerance Observation Non-Medication Example"/>
 <artifact id="StructureDefinition/AllergyStatusObservation" key="StructureDefinition-AllergyStatusObservation" name="Allergy Status Observation"/>
 <artifact id="StructureDefinition/AnesthesiaSection" key="StructureDefinition-AnesthesiaSection" name="Anesthesia Section"/>
 <artifact id="Binary/anesthesia-section-example" key="Binary-anesthesia-section-example" name="Anesthesia Section Example"/>
@@ -51,11 +55,13 @@
 <artifact id="StructureDefinition/AssessmentSection" key="StructureDefinition-AssessmentSection" name="Assessment Section"/>
 <artifact id="Binary/assessment-section-example" key="Binary-assessment-section-example" name="Assessment Section Example"/>
 <artifact id="StructureDefinition/AssessmentandPlanSection" key="StructureDefinition-AssessmentandPlanSection" name="Assessment and Plan Section"/>
-<artifact id="Binary/assessment-and-plan-section-example" key="Binary-assessment-and-plan-section-example" name="Assessment and PlanSection Example"/>
+<artifact id="Binary/assessment-and-plan-section-example" key="Binary-assessment-and-plan-section-example" name="Assessment and Plan Section Example"/>
 <artifact id="StructureDefinition/AuthorParticipation" key="StructureDefinition-AuthorParticipation" name="Author Participation"/>
 <artifact id="Binary/new-author-participant-example" key="Binary-new-author-participant-example" name="Author Participation Example"/>
 <artifact id="StructureDefinition/AuthorizationActivity" key="StructureDefinition-AuthorizationActivity" name="Authorization Activity"/>
 <artifact id="Binary/authorization-activity-example" key="Binary-authorization-activity-example" name="Authorization Activity Example"/>
+<artifact id="StructureDefinition/AverageBloodPressureOrganizer" key="StructureDefinition-AverageBloodPressureOrganizer" name="Average Blood Pressure Organizer"/>
+<artifact id="Binary/average-bp-example" key="Binary-average-bp-example" name="Average Blood Pressure Organizer Example"/>
 <artifact id="StructureDefinition/BasicIndustryObservation" key="StructureDefinition-BasicIndustryObservation" name="Basic Industry Observation"/>
 <artifact id="Binary/basic-industry-observation-example" key="Binary-basic-industry-observation-example" name="Basic Industry Observation Example"/>
 <artifact id="StructureDefinition/BasicOccupationObservation" key="StructureDefinition-BasicOccupationObservation" name="Basic Occupation Observation"/>
@@ -67,7 +73,7 @@
 <artifact id="StructureDefinition/CareExperiencePreference" key="StructureDefinition-CareExperiencePreference" name="Care Experience Preference"/>
 <artifact id="StructureDefinition/CarePlan" key="StructureDefinition-CarePlan" name="Care Plan"/>
 <artifact id="Binary/care-plan-caregiver-participant-example" key="Binary-care-plan-caregiver-participant-example" name="Care Plan Caregiver participant Example"/>
-<artifact id="Binary/care-plan-complete-example" key="Binary-care-plan-complete-example" name="Care Plan Complete Example"/>
+<artifact id="Binary/care-plan-complete-example" key="Binary-care-plan-complete-example" name="Care Plan Complete Header Example"/>
 <artifact id="Binary/care-plan-patient-authenticator-example" key="Binary-care-plan-patient-authenticator-example" name="Care Plan Patient authenticator Example"/>
 <artifact id="Binary/care-plan-review-example" key="Binary-care-plan-review-example" name="Care Plan Review Example"/>
 <artifact id="Binary/care-plan-performer-example" key="Binary-care-plan-performer-example" name="Care Plan performer Example"/>
@@ -100,9 +106,10 @@
 <artifact id="Binary/complications-section-example" key="Binary-complications-section-example" name="Complications Section Example"/>
 <artifact id="StructureDefinition/ConsultationNote" key="StructureDefinition-ConsultationNote" name="Consultation Note"/>
 <artifact id="Binary/consultation-note-callback-participant-example" key="Binary-consultation-note-callback-participant-example" name="Consultation Note Callback participant Example"/>
-<artifact id="Binary/consultation-note-complete-example" key="Binary-consultation-note-complete-example" name="Consultation Note Complete Example"/>
+<artifact id="Binary/consultation-note-complete-example" key="Binary-consultation-note-complete-example" name="Consultation Note Complete Header Example"/>
 <artifact id="Binary/consultation-note-infulfillmentof-example" key="Binary-consultation-note-infulfillmentof-example" name="Consultation Note inFulfillmentOf Example"/>
 <artifact id="Binary/ccd-author-example" key="Binary-ccd-author-example" name="Continuity Of Care Document Author Example"/>
+<artifact id="Binary/ccd-header-example" key="Binary-ccd-header-example" name="Continuity Of Care Document Complete Header Example"/>
 <artifact id="Binary/ccd-performer-example" key="Binary-ccd-performer-example" name="Continuity Of Care Document Performer"/>
 <artifact id="Binary/ccd-serviceevent-example" key="Binary-ccd-serviceevent-example" name="Continuity Of Care Document serviceEvent Example"/>
 <artifact id="StructureDefinition/ContinuityofCareDocumentCCD" key="StructureDefinition-ContinuityofCareDocumentCCD" name="Continuity of Care Document (CCD)"/>
@@ -130,6 +137,7 @@
 <artifact id="StructureDefinition/DischargeMedicationsSection" key="StructureDefinition-DischargeMedicationsSection" name="Discharge Medications Section"/>
 <artifact id="Binary/discharge-medications-section-example" key="Binary-discharge-medications-section-example" name="Discharge Medications Section Example"/>
 <artifact id="StructureDefinition/DischargeSummary" key="StructureDefinition-DischargeSummary" name="Discharge Summary"/>
+<artifact id="Binary/discharge-summary-header-example" key="Binary-discharge-summary-header-example" name="Discharge Summary Complete Header Example"/>
 <artifact id="Binary/discharge-summary-encompassingencounter-example" key="Binary-discharge-summary-encompassingencounter-example" name="Discharge Summary encompassingEncounter Example"/>
 <artifact id="StructureDefinition/DistinctIdentificationCodeObservation" key="StructureDefinition-DistinctIdentificationCodeObservation" name="Distinct Identification Code Observation"/>
 <artifact id="Binary/distinct-identification-code-observation-example" key="Binary-distinct-identification-code-observation-example" name="Distinct Identification Code Observation Example"/>
@@ -188,6 +196,7 @@
 <artifact id="Binary/highest-pressure-ulcer-stage-example" key="Binary-highest-pressure-ulcer-stage-example" name="Highest Pressure Ulcer Stage Example"/>
 <artifact id="Binary/history-of-present-illness-section-example" key="Binary-history-of-present-illness-section-example" name="History Of Present Illness Example"/>
 <artifact id="StructureDefinition/HistoryandPhysical" key="StructureDefinition-HistoryandPhysical" name="History and Physical"/>
+<artifact id="Binary/history-and-physical-header-example" key="Binary-history-and-physical-header-example" name="History and Physical Complete Header Example"/>
 <artifact id="Binary/handp-encompassingencounter-example" key="Binary-handp-encompassingencounter-example" name="History and Physical Encompassing Encounter Example"/>
 <artifact id="StructureDefinition/HistoryofPresentIllnessSection" key="StructureDefinition-HistoryofPresentIllnessSection" name="History of Present Illness Section"/>
 <artifact id="StructureDefinition/HospitalAdmissionDiagnosis" key="StructureDefinition-HospitalAdmissionDiagnosis" name="Hospital Admission Diagnosis"/>
@@ -208,8 +217,10 @@
 <artifact id="Binary/immunization-activity-example" key="Binary-immunization-activity-example" name="Immunization Activity Example"/>
 <artifact id="StructureDefinition/ImmunizationMedicationInformation" key="StructureDefinition-ImmunizationMedicationInformation" name="Immunization Medication Information"/>
 <artifact id="Binary/immunization-medication-information-example" key="Binary-immunization-medication-information-example" name="Immunization Medication Information Example"/>
-<artifact id="StructureDefinition/ImmunizationRefusalReason" key="StructureDefinition-ImmunizationRefusalReason" name="Immunization Refusal Reason"/>
-<artifact id="Binary/immunization-refusal-reason-example" key="Binary-immunization-refusal-reason-example" name="Immunization Refusal Reason Example"/>
+<artifact id="StructureDefinition/ImmunizationNotGivenReason" key="StructureDefinition-ImmunizationNotGivenReason" name="Immunization Not Given Reason"/>
+<artifact id="Binary/immunization-notgiven-reason-example" key="Binary-immunization-notgiven-reason-example" name="Immunization Not Given Reason Example"/>
+<artifact deprecated="true" id="StructureDefinition/ImmunizationRefusalReason" key="StructureDefinition-ImmunizationRefusalReason" name="Immunization Refusal Reason"/>
+<artifact deprecated="true" id="Binary/immunization-refusal-reason-example" key="Binary-immunization-refusal-reason-example" name="Immunization Refusal Reason Example"/>
 <artifact id="StructureDefinition/ImmunizationsSection" key="StructureDefinition-ImmunizationsSection" name="Immunizations Section"/>
 <artifact id="Binary/immunizations-section-example" key="Binary-immunizations-section-example" name="Immunizations Section Example"/>
 <artifact id="StructureDefinition/ImplantableDeviceStatusObservation" key="StructureDefinition-ImplantableDeviceStatusObservation" name="Implantable Device Status Observation"/>
@@ -240,6 +251,7 @@
 <artifact id="StructureDefinition/MedicationActivity" key="StructureDefinition-MedicationActivity" name="Medication Activity"/>
 <artifact id="Binary/medication-activity-example" key="Binary-medication-activity-example" name="Medication Activity Example"/>
 <artifact id="StructureDefinition/MedicationAdherence" key="StructureDefinition-MedicationAdherence" name="Medication Adherence"/>
+<artifact id="Binary/medication-adherence-example" key="Binary-medication-adherence-example" name="Medication Adherence Example"/>
 <artifact id="StructureDefinition/MedicationDispense" key="StructureDefinition-MedicationDispense" name="Medication Dispense"/>
 <artifact id="Binary/medication-dispense-example" key="Binary-medication-dispense-example" name="Medication Dispense Example"/>
 <artifact id="StructureDefinition/MedicationFreeTextSig" key="StructureDefinition-MedicationFreeTextSig" name="Medication Free Text Sig"/>
@@ -266,8 +278,8 @@
 <artifact id="StructureDefinition/NonMedicinalSupplyActivity" key="StructureDefinition-NonMedicinalSupplyActivity" name="Non-Medicinal Supply Activity"/>
 <artifact id="Binary/non-medicinal-supply-activity-example" key="Binary-non-medicinal-supply-activity-example" name="Non-Medicinal Supply Activity Example"/>
 <artifact id="StructureDefinition/NoteActivity" key="StructureDefinition-NoteActivity" name="Note Activity"/>
-<artifact id="Binary/note-activity-as-entryrelationship-to-ccda-entry-example" key="Binary-note-activity-as-entryrelationship-to-ccda-entry-example" name="Note Activity (entryRelationshipt to C-CDA Entry) Example"/>
-<artifact id="Binary/note-activity-as-standalone-entry-example" key="Binary-note-activity-as-standalone-entry-example" name="Note Activity (standalone) Example"/>
+<artifact id="Binary/note-activity-as-entryrelationship-to-ccda-entry-example" key="Binary-note-activity-as-entryrelationship-to-ccda-entry-example" name="Note Activity Entry Relationship Example"/>
+<artifact id="Binary/note-activity-as-standalone-entry-example" key="Binary-note-activity-as-standalone-entry-example" name="Note Activity Standalone Example"/>
 <artifact id="StructureDefinition/NotesSection" key="StructureDefinition-NotesSection" name="Notes Section"/>
 <artifact id="StructureDefinition/NumberofPressureUlcersObservation" key="StructureDefinition-NumberofPressureUlcersObservation" name="Number of Pressure Ulcers Observation"/>
 <artifact id="Binary/number-of-pressure-ulcers-observation-example" key="Binary-number-of-pressure-ulcers-observation-example" name="Number of Pressure Ulcers Observation Example"/>
@@ -282,6 +294,7 @@
 <artifact id="StructureDefinition/ObjectiveSection" key="StructureDefinition-ObjectiveSection" name="Objective Section"/>
 <artifact id="Binary/objective-section-example" key="Binary-objective-section-example" name="Objective Section Example"/>
 <artifact id="StructureDefinition/OperativeNote" key="StructureDefinition-OperativeNote" name="Operative Note"/>
+<artifact id="Binary/operative-note-header-example" key="Binary-operative-note-header-example" name="Operative Note Complete Header Example"/>
 <artifact id="StructureDefinition/OperativeNoteFluidsSection" key="StructureDefinition-OperativeNoteFluidsSection" name="Operative Note Fluids Section"/>
 <artifact id="Binary/operative-note-fluids-section-example" key="Binary-operative-note-fluids-section-example" name="Operative Note Fluids Section Example"/>
 <artifact id="StructureDefinition/OperativeNoteSurgicalProcedureSection" key="StructureDefinition-OperativeNoteSurgicalProcedureSection" name="Operative Note Surgical Procedure Section"/>
@@ -312,8 +325,8 @@
 <artifact id="Binary/physical-exam-section-example" key="Binary-physical-exam-section-example" name="Physical Exam Section Example"/>
 <artifact id="StructureDefinition/PlanofTreatmentSection" key="StructureDefinition-PlanofTreatmentSection" name="Plan of Treatment Section"/>
 <artifact id="Binary/plan-of-treatment-section-example" key="Binary-plan-of-treatment-section-example" name="Plan of Treatment Section Example"/>
-<artifact id="StructureDefinition/PlannedAct" key="StructureDefinition-PlannedAct" name="Planned Act"/>
-<artifact id="Binary/planned-act-example" key="Binary-planned-act-example" name="Planned Act Example"/>
+<artifact deprecated="true" id="StructureDefinition/PlannedAct" key="StructureDefinition-PlannedAct" name="Planned Act"/>
+<artifact deprecated="true" id="Binary/planned-act-example" key="Binary-planned-act-example" name="Planned Act Example"/>
 <artifact id="StructureDefinition/PlannedCoverage" key="StructureDefinition-PlannedCoverage" name="Planned Coverage"/>
 <artifact id="Binary/planned-coverage-example" key="Binary-planned-coverage-example" name="Planned Coverage Example"/>
 <artifact id="StructureDefinition/PlannedEncounter" key="StructureDefinition-PlannedEncounter" name="Planned Encounter"/>
@@ -324,8 +337,8 @@
 <artifact id="Binary/planned-intervention-act-example" key="Binary-planned-intervention-act-example" name="Planned Intervention Activity Example"/>
 <artifact id="StructureDefinition/PlannedMedicationActivity" key="StructureDefinition-PlannedMedicationActivity" name="Planned Medication Activity"/>
 <artifact id="Binary/planned-medication-activity-example" key="Binary-planned-medication-activity-example" name="Planned Medication Activity Example"/>
-<artifact id="StructureDefinition/PlannedObservation" key="StructureDefinition-PlannedObservation" name="Planned Observation"/>
-<artifact id="Binary/planned-observation-example" key="Binary-planned-observation-example" name="Planned Observation Example"/>
+<artifact deprecated="true" id="StructureDefinition/PlannedObservation" key="StructureDefinition-PlannedObservation" name="Planned Observation"/>
+<artifact deprecated="true" id="Binary/planned-observation-example" key="Binary-planned-observation-example" name="Planned Observation Example"/>
 <artifact id="StructureDefinition/PlannedProcedure" key="StructureDefinition-PlannedProcedure" name="Planned Procedure"/>
 <artifact id="Binary/planned-procedure-example" key="Binary-planned-procedure-example" name="Planned Procedure Example"/>
 <artifact id="StructureDefinition/PlannedProcedureSection" key="StructureDefinition-PlannedProcedureSection" name="Planned Procedure Section"/>
@@ -337,6 +350,7 @@
 <artifact id="StructureDefinition/PostoperativeDiagnosisSection" key="StructureDefinition-PostoperativeDiagnosisSection" name="Postoperative Diagnosis Section"/>
 <artifact id="Binary/postoperative-diagnosis-section-example" key="Binary-postoperative-diagnosis-section-example" name="Postoperative Diagnosis Section Example"/>
 <artifact id="StructureDefinition/PostprocedureDiagnosis" key="StructureDefinition-PostprocedureDiagnosis" name="Postprocedure Diagnosis"/>
+<artifact id="Binary/postprocedure-diagnosis-example" key="Binary-postprocedure-diagnosis-example" name="Postprocedure Diagnosis Example"/>
 <artifact id="StructureDefinition/PostprocedureDiagnosisSection" key="StructureDefinition-PostprocedureDiagnosisSection" name="Postprocedure Diagnosis Section"/>
 <artifact id="Binary/postprocedure-diagnosis-section-example" key="Binary-postprocedure-diagnosis-section-example" name="Postprocedure Diagnosis Section Example"/>
 <artifact id="StructureDefinition/PreconditionforSubstanceAdministration" key="StructureDefinition-PreconditionforSubstanceAdministration" name="Precondition for Substance Administration"/>
@@ -374,6 +388,7 @@
 <artifact id="StructureDefinition/ProcedureIndicationsSection" key="StructureDefinition-ProcedureIndicationsSection" name="Procedure Indications Section"/>
 <artifact id="Binary/procedure-indications-section-example" key="Binary-procedure-indications-section-example" name="Procedure Indications Section Example"/>
 <artifact id="StructureDefinition/ProcedureNote" key="StructureDefinition-ProcedureNote" name="Procedure Note"/>
+<artifact id="Binary/procedure-note-header-example" key="Binary-procedure-note-header-example" name="Procedure Note Complete Header Example"/>
 <artifact id="Binary/procedure-note-performer-example" key="Binary-procedure-note-performer-example" name="Procedure Note performer Example"/>
 <artifact id="Binary/procedure-note-serviceevent-example" key="Binary-procedure-note-serviceevent-example" name="Procedure Note serviceEvent Example"/>
 <artifact id="StructureDefinition/ProcedureSpecimensTakenSection" key="StructureDefinition-ProcedureSpecimensTakenSection" name="Procedure Specimens Taken Section"/>
@@ -386,6 +401,7 @@
 <artifact id="Binary/prognosis-free-text-example" key="Binary-prognosis-free-text-example" name="Prognosis Free Text Example"/>
 <artifact id="StructureDefinition/PrognosisObservation" key="StructureDefinition-PrognosisObservation" name="Prognosis Observation"/>
 <artifact id="StructureDefinition/ProgressNote" key="StructureDefinition-ProgressNote" name="Progress Note"/>
+<artifact id="Binary/progress-note-header-example" key="Binary-progress-note-header-example" name="Progress Note Complete Header Example"/>
 <artifact id="Binary/progress-note-encompassingencounter-example" key="Binary-progress-note-encompassingencounter-example" name="Progress Note encompassingEncounter Example"/>
 <artifact id="Binary/progress-note-serviceevent-example" key="Binary-progress-note-serviceevent-example" name="Progress Note serviceEvent Example"/>
 <artifact id="StructureDefinition/ProgressTowardGoalObservation" key="StructureDefinition-ProgressTowardGoalObservation" name="Progress Toward Goal Observation"/>
@@ -405,6 +421,7 @@
 <artifact id="StructureDefinition/ReferralNote" key="StructureDefinition-ReferralNote" name="Referral Note"/>
 <artifact id="Binary/referral-note-callback-contact-example" key="Binary-referral-note-callback-contact-example" name="Referral Note Callback Contact Example"/>
 <artifact id="Binary/referral-note-caregiver-example" key="Binary-referral-note-caregiver-example" name="Referral Note Caregiver"/>
+<artifact id="Binary/referral-note-header-example" key="Binary-referral-note-header-example" name="Referral Note Complete Header Example"/>
 <artifact id="Binary/referral-note-informationrecipient-example" key="Binary-referral-note-informationrecipient-example" name="Referral Note informationRecipient Example"/>
 <artifact id="StructureDefinition/RelatedPersonRelationshipAndNameParticipant" key="StructureDefinition-RelatedPersonRelationshipAndNameParticipant" name="Related Person Relationship and Name Participant"/>
 <artifact id="Binary/related-person-relationship-and-name-example" key="Binary-related-person-relationship-and-name-example" name="Related Person Relationship and Name Participant Example"/>
@@ -432,15 +449,20 @@
 <artifact id="StructureDefinition/SexObservation" key="StructureDefinition-SexObservation" name="Sex Observation"/>
 <artifact id="StructureDefinition/SexualOrientationObservation" key="StructureDefinition-SexualOrientationObservation" name="Sexual Orientation Observation"/>
 <artifact id="Binary/sexual-orientation-observation-example" key="Binary-sexual-orientation-observation-example" name="Sexual Orientation Observation Example"/>
+<artifact id="StructureDefinition/SmokingStatus" key="StructureDefinition-SmokingStatus" name="Smoking Status"/>
 <artifact id="StructureDefinition/SmokingStatusMeaningfulUse" key="StructureDefinition-SmokingStatusMeaningfulUse" name="Smoking Status - Meaningful Use"/>
+<artifact id="Binary/smoking-status-coded-example" key="Binary-smoking-status-coded-example" name="Smoking Status Coded Example"/>
 <artifact id="Binary/smoking-status-meaningful-use-example" key="Binary-smoking-status-meaningful-use-example" name="Smoking Status Meaningful Use Example"/>
+<artifact id="Binary/smoking-status-quantity-example" key="Binary-smoking-status-quantity-example" name="Smoking Status Quantity Example"/>
 <artifact id="StructureDefinition/SocialHistoryObservation" key="StructureDefinition-SocialHistoryObservation" name="Social History Observation"/>
-<artifact id="Binary/social-history-observation-example" key="Binary-social-history-observation-example" name="Social History Observation Example"/>
+<artifact deprecated="true" id="Binary/social-history-observation-example" key="Binary-social-history-observation-example" name="Social History Observation Example"/>
 <artifact id="StructureDefinition/SocialHistorySection" key="StructureDefinition-SocialHistorySection" name="Social History Section"/>
 <artifact id="Binary/social-history-section-example" key="Binary-social-history-section-example" name="Social History Section Example"/>
 <artifact id="StructureDefinition/SpecimenCollectionProcedure" key="StructureDefinition-SpecimenCollectionProcedure" name="Specimen Collection Procedure"/>
+<artifact id="Binary/specimen-collection-procedure-example" key="Binary-specimen-collection-procedure-example" name="Specimen Collection Procedure Example"/>
 <artifact id="StructureDefinition/SpecimenConditionObservation" key="StructureDefinition-SpecimenConditionObservation" name="Specimen Condition Observation"/>
-<artifact id="StructureDefinition/SpecimenRejectReasonObservation" key="StructureDefinition-SpecimenRejectReasonObservation" name="Specimen Reject Reason Observation"/>
+<artifact id="Binary/specimen-condition-observation-example" key="Binary-specimen-condition-observation-example" name="Specimen Condition Observation Example"/>
+<artifact deprecated="true" id="StructureDefinition/SpecimenRejectReasonObservation" key="StructureDefinition-SpecimenRejectReasonObservation" name="Specimen Reject Reason Observation"/>
 <artifact id="StructureDefinition/SubjectiveSection" key="StructureDefinition-SubjectiveSection" name="Subjective Section"/>
 <artifact id="Binary/subjective-section-example" key="Binary-subjective-section-example" name="Subjective Section Example"/>
 <artifact id="StructureDefinition/SubstanceAdministeredAct" key="StructureDefinition-SubstanceAdministeredAct" name="Substance Administered Act"/>
@@ -452,6 +474,7 @@
 <artifact id="Binary/tobacco-use-example" key="Binary-tobacco-use-example" name="Tobacco Use Example"/>
 <artifact id="StructureDefinition/TransferSummary" key="StructureDefinition-TransferSummary" name="Transfer Summary"/>
 <artifact id="Binary/transfer-summary-callback-contact-example" key="Binary-transfer-summary-callback-contact-example" name="Transfer Summary Callback Contact Example"/>
+<artifact id="Binary/transfer-summary-header-example" key="Binary-transfer-summary-header-example" name="Transfer Summary Complete Header Example"/>
 <artifact id="Binary/transfer-summary-participant-support-example" key="Binary-transfer-summary-participant-support-example" name="Transfer Summary participant (Support) Example"/>
 <artifact id="StructureDefinition/TreatmentInterventionPreference" key="StructureDefinition-TreatmentInterventionPreference" name="Treatment Intervention Preference"/>
 <artifact id="StructureDefinition/TribalAffiliationObservation" key="StructureDefinition-TribalAffiliationObservation" name="Tribal Affiliation Observation"/>
@@ -460,8 +483,8 @@
 <artifact id="Binary/udi-organizer-example" key="Binary-udi-organizer-example" name="UDI Organizer Example"/>
 <artifact id="StructureDefinition/USRealmAddress" key="StructureDefinition-USRealmAddress" name="US Realm Address"/>
 <artifact id="Binary/us-realm-address-example" key="Binary-us-realm-address-example" name="US Realm Address Example"/>
-<artifact id="StructureDefinition/USRealmDateTimeInterval" key="StructureDefinition-USRealmDateTimeInterval" name="US Realm Date and Time (Interval)"/>
-<artifact id="StructureDefinition/USRealmDateTime" key="StructureDefinition-USRealmDateTime" name="US Realm Date and Time (Point in Time)"/>
+<artifact id="StructureDefinition/USRealmDateTimeInterval" key="StructureDefinition-USRealmDateTimeInterval" name="US Realm Date and Time - Interval"/>
+<artifact id="StructureDefinition/USRealmDateTime" key="StructureDefinition-USRealmDateTime" name="US Realm Date and Time - Point in Time"/>
 <artifact id="Binary/us-realm-date-and-time-example" key="Binary-us-realm-date-and-time-example" name="US Realm Date and Time Example"/>
 <artifact id="Binary/us-realm-date-and-time-ivl-example" key="Binary-us-realm-date-and-time-ivl-example" name="US Realm Date and Time Interval Example"/>
 <artifact id="StructureDefinition/USRealmHeader" key="StructureDefinition-USRealmHeader" name="US Realm Header"/>
@@ -471,7 +494,7 @@
 <artifact id="StructureDefinition/USRealmPersonNamePNUSFIELDED" key="StructureDefinition-USRealmPersonNamePNUSFIELDED" name="US Realm Person Name (PN.US.FIELDED)"/>
 <artifact id="Binary/us-realm-person-name-example" key="Binary-us-realm-person-name-example" name="US Realm Person Name Example"/>
 <artifact id="StructureDefinition/UnstructuredDocument" key="StructureDefinition-UnstructuredDocument" name="Unstructured Document"/>
-<artifact id="Binary/vital-sign-observation-average-bp-example" key="Binary-vital-sign-observation-average-bp-example" name="Vital Sign Average Blood Pressure Example"/>
+<artifact deprecated="true" id="Binary/vital-sign-observation-average-bp-example" key="Binary-vital-sign-observation-average-bp-example" name="Vital Sign Average Blood Pressure Example"/>
 <artifact id="StructureDefinition/VitalSignObservation" key="StructureDefinition-VitalSignObservation" name="Vital Sign Observation"/>
 <artifact id="Binary/vital-sign-observation-example" key="Binary-vital-sign-observation-example" name="Vital Sign Observation Example"/>
 <artifact id="StructureDefinition/VitalSignsOrganizer" key="StructureDefinition-VitalSignsOrganizer" name="Vital Signs Organizer"/>
diff --git a/xml/CDA-cda-sd.xml b/xml/CDA-cda-sd.xml
index f9023deec..ce4305725 100644
--- a/xml/CDA-cda-sd.xml
+++ b/xml/CDA-cda-sd.xml
@@ -1,8 +1,10 @@
 <?xml version="1.0" encoding="UTF-8"?>
-<specification xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ballotUrl="http://hl7.org/cda/stds/core/2023Sep" ciUrl="https://build.fhir.org/ig/HL7/CDA-core-2.0" defaultVersion="2.0.0-sd-ballot" defaultWorkgroup="sd" url="http://hl7.org/cda/stds/core">
-<version code="current" url="https://build.fhir.org/ig/HL7/CDA-core-sd"/>
-<version code="2.0.0-sd-ballot" url="http://hl7.org/cda/stds/core/2023Sep"/>
-<version code="2.1.0-draft1" url="http://hl7.org/cda/stds/core/draft1"/>
+<specification xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ballotUrl="http://hl7.org/cda/stds/core/2023Sep" ciUrl="http://build.fhir.org/ig/HL7/CDA-core-sd" defaultVersion="2.0.0-sd" defaultWorkgroup="sd" url="http://hl7.org/cda/stds/core">
+<version code="current" url="http://build.fhir.org/ig/HL7/CDA-core-sd"/>
+<version code="2.0.0-sd" url="https://hl7.org/cda/stds/core"/>
+<version code="2.0.0-sd-snapshot1" deprecated="true" url="http://hl7.org/cda/stds/core/2.0.0-sd-snapshot1"/>
+<version code="2.0.0-sd-ballot" deprecated="true" url="http://hl7.org/cda/stds/core/2023Sep"/>
+<version code="2.1.0-draft1" deprecated="true" url="http://hl7.org/cda/stds/core/draft1"/>
 <artifactPageExtension value="-definitions"/>
 <artifactPageExtension value="-examples"/>
 <artifactPageExtension value="-mappings"/>
@@ -21,10 +23,33 @@
 <artifact id="StructureDefinition/Authorization" key="StructureDefinition-Authorization" name="Authorization (CDA Class)"/>
 <artifact id="StructureDefinition/BL" key="StructureDefinition-BL" name="BL: Boolean (V3 Data Type)"/>
 <artifact id="CodeSystem/BinaryDataEncoding" key="CodeSystem-BinaryDataEncoding" name="Binary Data Encoding Code System"/>
-<artifact id="ValueSet/BinaryDataEncoding" key="ValueSet-BinaryDataEncoding" name="Binary Data Encoding Value Set"/>
 <artifact id="StructureDefinition/Birthplace" key="StructureDefinition-Birthplace" name="Birthplace (CDA Class)"/>
 <artifact id="StructureDefinition/CD" key="StructureDefinition-CD" name="CD: ConceptDescriptor (V3 Data Type)"/>
+<artifact id="ValueSet/CDAActClass" key="ValueSet-CDAActClass" name="CDAActClass"/>
+<artifact id="ValueSet/CDAActClassObservation" key="ValueSet-CDAActClassObservation" name="CDAActClassObservation"/>
+<artifact id="ValueSet/CDAActMood" key="ValueSet-CDAActMood" name="CDAActMood"/>
+<artifact id="ValueSet/CDAActMoodIntent" key="ValueSet-CDAActMoodIntent" name="CDAActMoodIntent"/>
+<artifact id="ValueSet/CDAActRelationshipType" key="ValueSet-CDAActRelationshipType" name="CDAActRelationshipType"/>
+<artifact id="ValueSet/CDAActSubstanceAdministrationCode" key="ValueSet-CDAActSubstanceAdministrationCode" name="CDAActSubstanceAdministrationCode"/>
+<artifact id="ValueSet/BinaryDataEncoding" key="ValueSet-BinaryDataEncoding" name="CDABinaryDataEncoding"/>
+<artifact id="ValueSet/CDACompressionAlgorithm" key="ValueSet-CDACompressionAlgorithm" name="CDACompressionAlgorithm"/>
+<artifact id="ValueSet/CDAContextControl" key="ValueSet-CDAContextControl" name="CDAContextControl"/>
+<artifact id="ValueSet/CDAEntityCode" key="ValueSet-CDAEntityCode" name="CDAEntityCode"/>
+<artifact id="ValueSet/CDAEntityNamePartQualifier" key="ValueSet-CDAEntityNamePartQualifier" name="CDAEntityNamePartQualifier"/>
+<artifact id="ValueSet/CDAEntityNameUse" key="ValueSet-CDAEntityNameUse" name="CDAEntityNameUse"/>
+<artifact id="ValueSet/CDAInformationRecipientRole" key="ValueSet-CDAInformationRecipientRole" name="CDAInformationRecipientRole"/>
+<artifact id="ValueSet/CDAMaterialEntityClassType" key="ValueSet-CDAMaterialEntityClassType" name="CDAMaterialEntityClassType"/>
 <artifact id="ValueSet/CDANullFlavor" key="ValueSet-CDANullFlavor" name="CDANullFlavor"/>
+<artifact id="ValueSet/CDAObservationInterpretation" key="ValueSet-CDAObservationInterpretation" name="CDAObservationInterpretation"/>
+<artifact id="ValueSet/CDAParticipationType" key="ValueSet-CDAParticipationType" name="CDAParticipationType"/>
+<artifact id="ValueSet/CDAPostalAddressUse" key="ValueSet-CDAPostalAddressUse" name="CDAPostalAddressUse"/>
+<artifact id="ValueSet/CDARoleClass" key="ValueSet-CDARoleClass" name="CDARoleClass"/>
+<artifact id="ValueSet/CDARoleClassAssociative" key="ValueSet-CDARoleClassAssociative" name="CDARoleClassAssociative"/>
+<artifact id="ValueSet/CDARoleClassMutualRelationship" key="ValueSet-CDARoleClassMutualRelationship" name="CDARoleClassMutualRelationship"/>
+<artifact id="ValueSet/CDARoleClassRoot" key="ValueSet-CDARoleClassRoot" name="CDARoleClassRoot"/>
+<artifact id="ValueSet/CDARoleCode" key="ValueSet-CDARoleCode" name="CDARoleCode"/>
+<artifact id="ValueSet/CDASetOperator" key="ValueSet-CDASetOperator" name="CDASetOperator"/>
+<artifact id="ValueSet/CDASignatureCode" key="ValueSet-CDASignatureCode" name="CDASignatureCode"/>
 <artifact id="StructureDefinition/CE" key="StructureDefinition-CE" name="CE: CodedWithEquivalents (V3 Data Type)"/>
 <artifact id="StructureDefinition/CO" key="StructureDefinition-CO" name="CO: CodedOrdinal (V3 Data Type)"/>
 <artifact id="StructureDefinition/CR" key="StructureDefinition-CR" name="CR: ConceptRole (V3 Data Type)"/>
@@ -33,7 +58,6 @@
 <artifact id="StructureDefinition/ClinicalDocument" key="StructureDefinition-ClinicalDocument" name="ClinicalDocument (CDA Class)"/>
 <artifact id="StructureDefinition/Component" key="StructureDefinition-Component" name="Component (CDA Class)"/>
 <artifact id="StructureDefinition/ComponentOf" key="StructureDefinition-ComponentOf" name="ComponentOf (CDA Class)"/>
-<artifact id="ValueSet/CDACompressionAlgorithm" key="ValueSet-CDACompressionAlgorithm" name="CompressionAlgorithm"/>
 <artifact id="StructureDefinition/Consent" key="StructureDefinition-Consent" name="Consent (CDA Class)"/>
 <artifact id="StructureDefinition/Criterion" key="StructureDefinition-Criterion" name="Criterion (CDA Class)"/>
 <artifact id="StructureDefinition/Custodian" key="StructureDefinition-Custodian" name="Custodian (CDA Class)"/>
@@ -157,7 +181,9 @@
 <page key="cda-rmim" name="Graphical Map of CDA"/>
 <page key="dt-uml" name="Graphical Map of Datatypes"/>
 <page key="index" name="IG Home Page"/>
+<page key="implementation" name="Implementation Notes"/>
 <page key="narrative" name="Narrative Block"/>
 <page key="overview" name="Overview"/>
 <page key="toc" name="Table of Contents"/>
-</specification>
+<page key="terminology" name="Terminology"/>
+</specification>
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