<?xml version="1.0" encoding="UTF-8"?>
<!--Sample XML file generated by XMLSpy v2012 rel. 2 sp1 (http://www.altova.com)-->
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="Clinicaldata file:///C:/data/perforce/repositories/apps/cds/main/cds-core/templatecache/vhim_4_00/PharmacyCreateOrUpdate40060/template/PharmacyCreateOrUpdate40060.xsd">
	<templateId>PharmacyCreateOrUpdate40060</templateId>
	<patient>
		<requestedNationalId>String</requestedNationalId>
		<outpatientMedicationPromises>
			<recordIdentifier>
				<identity>401389</identity>
				<namespaceId>578_52</namespaceId>
				<universalId>CPM.DNS      .MED.DNS   </universalId>
				<universalIdType>DNS</universalIdType>
			</recordIdentifier>
			<pdtsPrescriptionId>pdtsPrescriptionId1</pdtsPrescriptionId>
			<prescriptionId>prescriptionId1</prescriptionId>
			<pharmacyPatientType>OP</pharmacyPatientType>
			<specialDrugTracking>
				<totalDailyDosage>
					<value>String</value>
					<unit>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</unit>
				</totalDailyDosage>
				<wbcObservation>
					<count>
						<value>String</value>
						<unit>
							<code>String</code>
							<displayText>String</displayText>
							<codingSystem>String</codingSystem>
						</unit>
					</count>
					<testDate>
						<literal>String</literal>
					</testDate>
				</wbcObservation>
			</specialDrugTracking>
			<dataEnterer>
				<comment>String</comment>
				<time>
					<literal>String</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>String</identity>
						<assigningFacility>String</assigningFacility>
						<assigningAuthority>String</assigningAuthority>
					</identifier>
					<idSourceTable>String</idSourceTable>
					<name>
						<prefix>String</prefix>
						<given>String</given>
						<middle>String</middle>
						<family>String</family>
						<suffix>String</suffix>
						<title>String</title>
					</name>
				</practitioner>
			</dataEnterer>
			<pharmacyRequest>
				<cosigner>
					<comment>String</comment>
					<time>
						<literal>String</literal>
					</time>
					<practitioner>
						<identifier>
							<identity>String</identity>
							<assigningFacility>String</assigningFacility>
							<assigningAuthority>String</assigningAuthority>
						</identifier>
						<idSourceTable>String</idSourceTable>
						<name>
							<prefix>String</prefix>
							<given>String</given>
							<middle>String</middle>
							<family>String</family>
							<suffix>String</suffix>
							<title>String</title>
						</name>
					</practitioner>
				</cosigner>
				<orderedMedication>
					<cmopDrugCode>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</cmopDrugCode>
					<medicationCode>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
						<alternateCode>String</alternateCode>
						<alternateDisplayText>String</alternateDisplayText>
						<alternateCodingSystem>String</alternateCodingSystem>
					</medicationCode>
					<otcCode>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</otcCode>
					<tradeName>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</tradeName>
				</orderedMedication>
				<genericRequestIdentifier>
					<identity>String</identity>
					<namespaceId>String</namespaceId>
					<universalId>String</universalId>
					<universalIdType>String</universalIdType>
				</genericRequestIdentifier>
				<orderLocationIdentifier>
					<pointOfCare>String</pointOfCare>
					<room>String</room>
					<bed>String</bed>
					<facilityNamespaceId>String</facilityNamespaceId>
					<facilityUniversalId>String</facilityUniversalId>
					<facilityUniversalIdType>String</facilityUniversalIdType>
					<personLocationType>String</personLocationType>
					<locationDescription>String</locationDescription>
				</orderLocationIdentifier>
				<orderedItem>
					<itemCode>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</itemCode>
					<dosageFormCode>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</dosageFormCode>
				</orderedItem>
				<orderingInstitutionIdentifier>
					<identity>String</identity>
					<name>String</name>
					<assigningAuthority>String</assigningAuthority>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>String</literal>
				</orderDate>
				<status>String</status>
				<statusModifier>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>dev6_00000</identity>
					<assigningFacility>200CH</assigningFacility>
					<assigningAuthority>USDOD</assigningAuthority>
				</identifier>
				<name>
					<prefix>prefix</prefix>
					<given>given</given>
					<middle>middle</middle>
					<family>family</family>
					<suffix>suffix</suffix>
					<title>title</title>
				</name>
			</patient>
			<expirationDate>
				<literal>19980116000000-0600</literal>
			</expirationDate>
			<lastDispenseDate>
				<literal>19971215-0600</literal>
			</lastDispenseDate>
			<numberOfRefillsAuthorized>5</numberOfRefillsAuthorized>
			<patientInstructions>patientInstructions1</patientInstructions>
			<patientInstructions>patientInstructions2</patientInstructions>
			<otherPatientInstructions>otherPatientInstructions1</otherPatientInstructions>
			<otherPatientInstructions>otherPatientInstructions2</otherPatientInstructions>
			<expandedPatientInstructions>expandedPatientInstructions1</expandedPatientInstructions>
			<expandedPatientInstructions>expandedPatientInstructions2</expandedPatientInstructions>
			<pharmacyInstructions>pharmacyInstructions1</pharmacyInstructions>
			<pharmacyInstructions>pharmacyInstructions2</pharmacyInstructions>
			<sig>T 1 HS</sig>
			<sig>T 2 HS</sig>
			<digitalSignatureIndicator>
				<code>String</code>
				<displayText>String</displayText>
				<codingSystem>String</codingSystem>
			</digitalSignatureIndicator>
			<copayTransactionType>
				<code>String</code>
				<displayText>String</displayText>
				<codingSystem>String</codingSystem>
			</copayTransactionType>
			<transitionalRxBenefit>
				<code>String</code>
				<displayText>String</displayText>
				<codingSystem>String</codingSystem>
			</transitionalRxBenefit>
			<treatmentFactor>
				<factor>
					<code>trfactcode1</code>
					<displayText>trfactdisp_text1</displayText>
					<codingSystem>trfact_code_sys1</codingSystem>
				</factor>
				<factorValue>
					<code>trfact_factor_cd1</code>
					<displayText>trfact_factor_dispTxt1</displayText>
					<codingSystem>trfact_factor_cdsys1</codingSystem>
				</factorValue>
			</treatmentFactor>
			<originalDispense>
				<comments>RENEWED FROM RX # 100001486</comments>
				<dispenseDate>
					<literal>19970115</literal>
				</dispenseDate>
				<fillDate>
					<literal>19970115</literal>
				</fillDate>
				<quantityDispensed>
					<value>30</value>
					<unit>
						<displayText>TAB</displayText>
						<codingSystem>578_50</codingSystem>
					</unit>
				</quantityDispensed>
				<currentProvider>
					<identifier>
						<identity>923</identity>
						<assigningFacility>578</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>VISTA200</idSourceTable>
					<name>
						<given>TWENTYEIGHT</given>
						<family>PROGRAMMER</family>
						<title>COMPUTER SPECIALIST</title>
					</name>
				</currentProvider>
				<currentProviderComments>currentProviderComment</currentProviderComments>
				<loginDate>
					<literal>19970115153408-0600</literal>
				</loginDate>
				<daysSupply>30</daysSupply>
				<identifier>
					<identity>401389.0</identity>
					<namespaceId>578_52</namespaceId>
				</identifier>
				<mailWindow>WINDOW</mailWindow>
				<releaseDate>
					<literal>19970312112435-0600</literal>
				</releaseDate>
				<division>
					<divisionId>
						<code>500</code>
						<displayText>VEHU SITE</displayText>
						<codingSystem>578_59</codingSystem>
					</divisionId>
					<ncpdpId>
						<codingSystem>578_59</codingSystem>
					</ncpdpId>
				</division>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.0</value>
					</drugUnitPrice>
					<ndc>
						<code>38-0101-10</code>
						<codingSystem>578_50</codingSystem>
					</ndc>
				</dispensedDrug>
				<pharmacist>
					<practitioner>
						<identifier>
							<identity>923</identity>
							<assigningFacility>578</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<idSourceTable>VISTA200</idSourceTable>
						<name>
							<given>TWENTYEIGHT</given>
							<family>PROGRAMMER</family>
							<title>COMPUTER SPECIALIST</title>
						</name>
					</practitioner>
				</pharmacist>
				<cmopEventStatus>
					<codingSystem>578_52.01</codingSystem>
				</cmopEventStatus>
			</originalDispense>
			<refillDispense>
				<comments>refillComments</comments>

				<dispenseDate>
					<literal>19970214-0600</literal>
				</dispenseDate>
				<fillDate>
					<literal>19970214-0600</literal>
				</fillDate>
				<quantityDispensed>
					<value>30.00</value>
				</quantityDispensed>
				<currentProvider>
					<identifier>
						<identity>923</identity>
						<assigningFacility>578</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>VISTA200</idSourceTable>
					<name>
						<given>TWENTYEIGHT</given>
						<family>PROGRAMMER</family>
						<title>COMPUTER SPECIALIST</title>
					</name>
				</currentProvider>
								<currentProviderComments>refillCurrentProviderComment</currentProviderComments>
				<loginDate>
					<literal>19970214-0600</literal>
				</loginDate>				
				<daysSupply>30</daysSupply>
				<identifier>
					<identity>401389||1</identity>
					<namespaceId>578_52.1</namespaceId>
				</identifier>
				<mailWindow>MAIL</mailWindow>
				<releaseDate>
					<literal>19970312112435-0600</literal>
				</releaseDate>
				<division>
					<divisionId>
						<code>2.0</code>
						<displayText>VEHU SITE</displayText>
						<codingSystem>578_59</codingSystem>
					</divisionId>
					<ncpdpId>
						<codingSystem>578_59</codingSystem>
					</ncpdpId>
				</division>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.0</value>
					</drugUnitPrice>
					<ndc>
						<codingSystem>578_52.1</codingSystem>
					</ndc>
				</dispensedDrug>
				<pharmacist>
					<practitioner>
						<identifier>
							<identity>923</identity>
							<assigningFacility>578</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<idSourceTable>VISTA200</idSourceTable>
						<name>
							<given>TWENTYEIGHT</given>
							<family>PROGRAMMER</family>
							<title>COMPUTER SPECIALIST</title>
						</name>
					</practitioner>
				</pharmacist>
			</refillDispense>
			<partialDispense>
				<comments>partDispComments</comments>
				<dispenseDate>
					<literal>20121217042312</literal>
				</dispenseDate>
				<fillDate>
					<literal>20121217042312</literal>
				</fillDate>
				<quantityDispensed>
					<value>String</value>
					<unit>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</unit>
				</quantityDispensed>
				<currentProvider>
					<identifier>
						<identity>String</identity>
						<assigningFacility>String</assigningFacility>
						<assigningAuthority>String</assigningAuthority>
					</identifier>
					<idSourceTable>String</idSourceTable>
					<name>
						<prefix>String</prefix>
						<given>String</given>
						<middle>String</middle>
						<family>String</family>
						<suffix>String</suffix>
						<title>String</title>
					</name>
				</currentProvider>
				<currentProviderComments>PartDispCurrentProviderComments</currentProviderComments>
				<loginDate>
					<literal>20121217042312</literal>
				</loginDate>
				<daysSupply>String</daysSupply>
				<identifier>
					<identity>String</identity>
					<namespaceId>String</namespaceId>
					<universalId>String</universalId>
					<universalIdType>String</universalIdType>
				</identifier>
				<levelOfUnderstanding>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</levelOfUnderstanding>
				<mailWindow>String</mailWindow>
				<releaseDate>
					<literal>20121217042312</literal>
				</releaseDate>
				<wasPatientCounseled>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</wasPatientCounseled>
				<division>
					<divisionId>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</divisionId>
					<ncpdpId>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</ncpdpId>
				</division>
				<dispensedDrug>
					<drugUnitPrice>
						<currency>
							<code>String</code>
							<displayText>String</displayText>
							<codingSystem>String</codingSystem>
						</currency>
						<value>String</value>
					</drugUnitPrice>
					<expirationDate>
						<literal>20121217042312</literal>
					</expirationDate>
					<lotId>String</lotId>
					<ndc>
						<code>String</code>
						<displayText>String</displayText>
						<codingSystem>String</codingSystem>
					</ndc>
				</dispensedDrug>
				<pharmacist>
					<comment>String</comment>
					<time>
						<literal>20121217042312</literal>
					</time>
					<practitioner>
						<identifier>
							<identity>String</identity>
							<assigningFacility>String</assigningFacility>
							<assigningAuthority>String</assigningAuthority>
						</identifier>
						<idSourceTable>String</idSourceTable>
						<name>
							<prefix>String</prefix>
							<given>String</given>
							<middle>String</middle>
							<family>String</family>
							<suffix>String</suffix>
							<title>String</title>
						</name>
					</practitioner>
				</pharmacist>
				<cmopEventStatus>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</cmopEventStatus>
				<numberOfRefillsRemaining>0</numberOfRefillsRemaining>
			</partialDispense>
			<cancel>
				<cancelDate>
					<literal>19971218000000</literal>
				</cancelDate>
				<comments>comments</comments>
			</cancel>
			<medicationInstructions>
				<conjunction>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</conjunction>
				<dispenseUnitsPerDose>String</dispenseUnitsPerDose>
				<dosageOrdered>String</dosageOrdered>
				<noun>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</noun>
				<route>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</route>
				<schedule>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</schedule>
				<verb>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</verb>
				<giveUnits>
					<code>String</code>
					<displayText>String</displayText>
					<codingSystem>String</codingSystem>
				</giveUnits>
				<intendedDuration>String</intendedDuration>
			</medicationInstructions>
			<finisher>
				<comment>String</comment>
				<time>
					<literal>String</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>String</identity>
						<assigningFacility>String</assigningFacility>
						<assigningAuthority>String</assigningAuthority>
					</identifier>
					<idSourceTable>String</idSourceTable>
					<name>
						<prefix>String</prefix>
						<given>String</given>
						<middle>String</middle>
						<family>String</family>
						<suffix>String</suffix>
						<title>String</title>
					</name>
				</practitioner>
			</finisher>
			<activityLog>
				<activityDate>
					<literal>19971218112212</literal>
				</activityDate>
				<reason>
					<code>S</code>
					<displayText>SUSPENDED</displayText>
					<codingSystem>578_52.3</codingSystem>
				</reason>
				<initiator>
					<practitioner>
						<identifier>
							<identity>923</identity>
							<assigningFacility>578</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<idSourceTable>VISTA200</idSourceTable>
						<name>
							<given>TWENTYEIGHT</given>
							<family>PROGRAMMER</family>
							<title>COMPUTER SPECIALIST</title>
						</name>
					</practitioner>
				</initiator>
				<comment>RX Placed on Suspense until 01-04-98</comment>
			</activityLog>
			<recordSource>
				<namespaceId>578_52</namespaceId>
				<universalId>CPM.DNS      .MED.DNS   </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
			<recordVersion>0</recordVersion>
			<recordUpdateTime>
				<literal>20121211-0600</literal>
			</recordUpdateTime>
		</outpatientMedicationPromises>
	</patient>
</clinicaldata:ClinicalData>
