<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>VWPharmacyDetailRead40010</templateId>
	<requestId>707916F6-3F1F-8062-67CC-50F34E282474</requestId>
	<patient>
		<requestedResolvedIdentifiers>
			<identity>dev5_00000</identity>
			<assigningFacility>DefaultAssigningFacility</assigningFacility>
			<assigningAuthority>USVHA</assigningAuthority>
		</requestedResolvedIdentifiers>
		<resultantIdentifiers>
			<identity>dev5_00000</identity>
			<assigningFacility>DefaultAssigningFacility</assigningFacility>
			<assigningAuthority>USVHA</assigningAuthority>
		</resultantIdentifiers>
		<outpatientMedicationPromises>
			<recordIdentifier>
				<identity>ID_131209142737110000</identity>
				<namespaceId>DefaultAssigningFacility</namespaceId>
				<universalId>UID_131209142737110000</universalId>
				<universalIdType>universalIdType</universalIdType>
			</recordIdentifier>
			<prescriptionId>PrescriptionId</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<displayText> Med Alt CodeDisplayTextLite</displayText>
					</medicationCode>
				</orderedMedication>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>dev5_00000</identity>
					<assigningFacility>DefaultAssigningFacility</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<numberOfRefillsAuthorized>2</numberOfRefillsAuthorized>
			<sig>Sig-0</sig>
			<sig>Sig-1</sig>
			<originalDispense>
				<quantityDispensed>
					<value>1.0</value>
				</quantityDispensed>
				<daysSupply>5</daysSupply>
				<numberOfRefillsRemaining>13</numberOfRefillsRemaining>
			</originalDispense>
			<refillDispense>
				<dispensedDrug>
					<expirationDate>
						<literal>20110730235027</literal>
					</expirationDate>
				</dispensedDrug>
				<numberOfRefillsRemaining>13</numberOfRefillsRemaining>
			</refillDispense>
			<refillDispense>
				<dispensedDrug>
					<expirationDate>
						<literal>20110730235027</literal>
					</expirationDate>
				</dispensedDrug>
				<numberOfRefillsRemaining>13</numberOfRefillsRemaining>
			</refillDispense>
			<cancel>
				<cancelDate>
					<literal>20110730235027</literal>
				</cancelDate>
			</cancel>
			<recordSource>
				<namespaceId>DefaultAssigningFacility</namespaceId>
				<universalId>1312091427384100000</universalId>
				<universalIdType>universalIdType</universalIdType>
			</recordSource>
			<recordVersion>10000</recordVersion>
			<recordUpdateTime>
				<literal>20110730235027</literal>
			</recordUpdateTime>
		</outpatientMedicationPromises>
	</patient>
</clinicaldata:ClinicalData>