<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>SkintestRead3</templateId>
	<requestId>3DAB2D64-9AE2-F2EB-1D4D-9270206210A5</requestId>
	<patients>
		<patient>
			<requestedResolvedIdentifiers>
				<requestedResolvedIdentifier>
					<identity>34</identity>
					<assigningFacility>580</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</requestedResolvedIdentifier>
			</requestedResolvedIdentifiers>
			<resultantIdentifiers>
				<resultantIdentifier>
					<identity>34</identity>
					<assigningFacility>580</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</resultantIdentifier>
			</resultantIdentifiers>
			<skinTestProcedures>
				<skinTestProcedure>
					<eventDate>
						<literal>19980113090000-0600</literal>
					</eventDate>
					<recordIdentifier>
						<identity>4</identity>
						<namespaceId>580_9000010_12</namespaceId>
						<universalId>CPM.DNS      .MED.DNS   </universalId>
						<universalIdType>DNS</universalIdType>
					</recordIdentifier>
					<testCode>
						<alternateCode>500001</alternateCode>
						<alternateDisplayText>TB SKIN</alternateDisplayText>
					</testCode>
					<visit>
						<serviceCategory>
							<alternateCode>X</alternateCode>
							<alternateDisplayText>ANCILLARY PACKAGE DAILY DATA</alternateDisplayText>
						</serviceCategory>
						<visitDate>
							<low>
								<literal>19980115081756-0600</literal>
							</low>
						</visitDate>
						<visitId>
							<identity>11TB-ALN</identity>
							<namespaceId>580_9000010</namespaceId>
						</visitId>
						<visitAdmitDate>
							<literal>19980115080000-0600</literal>
						</visitAdmitDate>
					</visit>
					<patient>
						<identifier>
							<identity>34</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETFIVESEVENTYFIVE</family>
						</name>
					</patient>
					<recordSource>
						<namespaceId>580_9000010_12</namespaceId>
						<universalId>CPM.DNS      .MED.DNS   </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<performer>
						<identifier>
							<identity>11597</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<idSourceTable>VISTA200</idSourceTable>
						<name>
							<given>PRF</given>
							<family>PROVIDER</family>
							<title>COMPUTER SPECIALIST</title>
						</name>
					</performer>
					<skintestObservation>
						<dateRead>
							<literal>19980115-0600</literal>
						</dateRead>
						<reading>
							<value>3 mm</value>
						</reading>
						<testResults>
							<result>
								<alternateCode>N</alternateCode>
								<alternateDisplayText>NEGATIVE</alternateDisplayText>
							</result>
						</testResults>
					</skintestObservation>
					<auditTrail>9-A 11597;</auditTrail>
					<dataSource>
						<sourceName>PXCE DATA ENTRY</sourceName>
					</dataSource>
					<softwarePackage>
						<name>PCE PATIENT CARE ENCOUNTER</name>
					</softwarePackage>
				</skinTestProcedure>
			</skinTestProcedures>
		</patient>
	</patients>
</clinicaldata:ClinicalData>