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Yes this can be replaced using a for loop and a database query.
var payerCount = message.getCount('/ClinicalDocument/component/structuredBody/component[section/code/@code="48768-6"]/section/entry'); for (var i=1 ; i <= payerCount ; i++) { var insid = message.getNode('/ClinicalDocument/component/structuredBody/component[section/code/@code="48768-6"]/section/entry[' + i + ']/act/id/@extension'); var queryResult = qie.doQuery( "dbName", "select IDNO from insuranc where INSID = '" + insid + "'"); message.setNode('/ClinicalDocument/component/structuredBody/component[section/code/@code="48768-6"]/section/entry[' + i + ']/act/id/@extension', queryResult.getNode("idno")); }