<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>ProblemListRead2</templateId>
	<requestId>381EA1D2-A858-C5EA-3DB6-F30B3FFBF376</requestId>
	<patients>
		<patient>
			<requestedResolvedIdentifiers>
				<requestedResolvedIdentifier>
					<identity>74</identity>
					<assigningFacility>580</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</requestedResolvedIdentifier>
			</requestedResolvedIdentifiers>
			<resultantIdentifiers>
				<resultantIdentifier>
					<identity>74</identity>
					<assigningFacility>580</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</resultantIdentifier>
			</resultantIdentifiers>
			<healthConcerns>
				<healthConcern>
					<patient>
						<identifier>
							<identity>74</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETFOURFIFTY</family>
						</name>
					</patient>
					<dateLastModified>
						<literal>19990708000000-0500</literal>
					</dateLastModified>
					<entryId>
						<assigningAuthorityName>USVHA</assigningAuthorityName>
						<extension>1</extension>
					</entryId>
					<healthConcernStatus>
						<alternateCode>A</alternateCode>
						<alternateCodingSystem>580_9000011_12</alternateCodingSystem>
						<alternateDisplayText>ACTIVE</alternateDisplayText>
					</healthConcernStatus>
					<recordDisposition>T</recordDisposition>
					<dataEnterer>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</dataEnterer>
					<author>
						<practitioner>
							<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>
						</practitioner>
					</author>
					<clinic>
						<locationId>
							<pointOfCare>AUDIOLOGY</pointOfCare>
							<room>64</room>
						</locationId>
					</clinic>
					<facility>
						<locationCode>
							<code>500</code>
							<displayText>CAMP MASTER</displayText>
							<codingSystem>L</codingSystem>
						</locationCode>
					</facility>
					<recordSource>
						<namespaceId>580_55.05</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<recordIdentifier>
						<identity>150</identity>
						<namespaceId>580</namespaceId>
					</recordIdentifier>
					<responsibleProviders>
						<responsibleProvider>
							<practitioner>
								<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>
							</practitioner>
						</responsibleProvider>
					</responsibleProviders>
					<diagnosesList>
						<diagnosisList>
							<diagnosis>
								<icdCodes>
									<icdCode>
										<alternateCode>472.0</alternateCode>
										<alternateCodingSystem>580_80</alternateCodingSystem>
										<alternateDisplayText>CHRONIC RHINITIS</alternateDisplayText>
									</icdCode>
								</icdCodes>
							</diagnosis>
						</diagnosisList>
					</diagnosesList>
					<specialInterestsFlag/>
					<expression>
						<expressionText>Chronic rhinitis</expressionText>
						<expressionCode>
							<alternateCode>24434</alternateCode>
							<alternateCodingSystem>580_757_01</alternateCodingSystem>
							<alternateDisplayText>Chronic rhinitis</alternateDisplayText>
						</expressionCode>
					</expression>
					<providerNarrative>
						<narrativeText>RHINITIS; CHRONIC</narrativeText>
						<narrativeCode>
							<alternateDisplayText>RHINITIS; CHRONIC</alternateDisplayText>
						</narrativeCode>
					</providerNarrative>
					<healthConcernNotesEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>@</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>ADDED FROM GUI/PN ENCOUNTER/DX DATA ENTRY</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
					</healthConcernNotesEvent>
				</healthConcern>
				<healthConcern>
					<patient>
						<identifier>
							<identity>74</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETFOURFIFTY</family>
						</name>
					</patient>
					<dateLastModified>
						<literal>19990708000000-0500</literal>
					</dateLastModified>
					<entryId>
						<assigningAuthorityName>USVHA</assigningAuthorityName>
						<extension>2</extension>
					</entryId>
					<healthConcernStatus>
						<alternateCode>A</alternateCode>
						<alternateCodingSystem>580_9000011_12</alternateCodingSystem>
						<alternateDisplayText>ACTIVE</alternateDisplayText>
					</healthConcernStatus>
					<recordDisposition>P</recordDisposition>
					<dataEnterer>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</dataEnterer>
					<author>
						<practitioner>
							<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>
						</practitioner>
					</author>
					<clinic>
						<locationId>
							<pointOfCare>AUDIOLOGY</pointOfCare>
							<room>64</room>
						</locationId>
					</clinic>
					<facility>
						<locationCode>
							<code>500</code>
							<displayText>CAMP MASTER</displayText>
							<codingSystem>L</codingSystem>
						</locationCode>
					</facility>
					<recordSource>
						<namespaceId>580_55.05</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<recordIdentifier>
						<identity>151</identity>
						<namespaceId>580</namespaceId>
					</recordIdentifier>
					<responsibleProviders>
						<responsibleProvider>
							<practitioner>
								<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>
							</practitioner>
						</responsibleProvider>
					</responsibleProviders>
					<diagnosesList>
						<diagnosisList>
							<diagnosis>
								<icdCodes>
									<icdCode>
										<alternateCode>461.9</alternateCode>
										<alternateCodingSystem>580_80</alternateCodingSystem>
										<alternateDisplayText>ACUTE SINUSITIS, UNSPECIFIED</alternateDisplayText>
									</icdCode>
								</icdCodes>
							</diagnosis>
						</diagnosisList>
					</diagnosesList>
					<specialInterestsFlag/>
					<expression>
						<expressionText>Acute sinusitis</expressionText>
						<expressionCode>
							<alternateCode>259080</alternateCode>
							<alternateCodingSystem>580_757_01</alternateCodingSystem>
							<alternateDisplayText>Acute sinusitis</alternateDisplayText>
						</expressionCode>
					</expression>
					<providerNarrative>
						<narrativeText>SINUSITIS; ACUTE</narrativeText>
						<narrativeCode>
							<alternateDisplayText>SINUSITIS; ACUTE</alternateDisplayText>
						</narrativeCode>
					</providerNarrative>
					<healthConcernNotesEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>@</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>ADDED FROM GUI/PN ENCOUNTER/DX DATA ENTRY</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
					</healthConcernNotesEvent>
				</healthConcern>
				<healthConcern>
					<patient>
						<identifier>
							<identity>74</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETFOURFIFTY</family>
						</name>
					</patient>
					<chronicityCode>
						<alternateCode>C</alternateCode>
						<alternateCodingSystem>L</alternateCodingSystem>
						<alternateDisplayText>Chronic</alternateDisplayText>
					</chronicityCode>
					<dateLastModified>
						<literal>19990708000000-0500</literal>
					</dateLastModified>
					<entryId>
						<assigningAuthorityName>USVHA</assigningAuthorityName>
						<extension>3</extension>
					</entryId>
					<healthConcernStatus>
						<alternateCode>A</alternateCode>
						<alternateCodingSystem>580_9000011_12</alternateCodingSystem>
						<alternateDisplayText>ACTIVE</alternateDisplayText>
					</healthConcernStatus>
					<concernDurations>
						<concernDuration>
							<low>
								<literal>19990608-0500</literal>
							</low>
						</concernDuration>
					</concernDurations>
					<recordDisposition>P</recordDisposition>
					<dataEnterer>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</dataEnterer>
					<author>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</author>
					<clinic>
						<locationId>
							<pointOfCare>AUDIOLOGY</pointOfCare>
							<room>64</room>
						</locationId>
					</clinic>
					<facility>
						<locationCode>
							<code>500</code>
							<displayText>CAMP MASTER</displayText>
							<codingSystem>L</codingSystem>
						</locationCode>
					</facility>
					<recordSource>
						<namespaceId>580_55.05</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<recordIdentifier>
						<identity>152</identity>
						<namespaceId>580</namespaceId>
					</recordIdentifier>
					<responsibleProviders>
						<responsibleProvider>
							<practitioner>
								<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>
							</practitioner>
						</responsibleProvider>
					</responsibleProviders>
					<diagnosesList>
						<diagnosisList>
							<diagnosis>
								<icdCodes>
									<icdCode>
										<alternateCode>799.9</alternateCode>
										<alternateCodingSystem>580_80</alternateCodingSystem>
										<alternateDisplayText>OTHER UNKNOWN AND UNSPECIFIED CAUSE OF MORBIDITY OR MORTALITY</alternateDisplayText>
									</icdCode>
								</icdCodes>
							</diagnosis>
						</diagnosisList>
					</diagnosesList>
					<specialInterestsFlag>
						<specialInterestFlag>
							<factor>
								<code>SERVICE_CONNECTED</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>AGENT_ORANGE_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>IONIZING_RADIATION_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>PERSIAN_GULF_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
					</specialInterestsFlag>
					<expression>
						<expressionText>Diabetic Foot Ulcer</expressionText>
						<expressionCode>
							<alternateCode>303974</alternateCode>
							<alternateCodingSystem>580_757_01</alternateCodingSystem>
							<alternateDisplayText>Diabetic Foot Ulcer</alternateDisplayText>
						</expressionCode>
					</expression>
					<providerNarrative>
						<narrativeText>Diabetic Foot Ulcer</narrativeText>
						<narrativeCode>
							<alternateDisplayText>Diabetic Foot Ulcer</alternateDisplayText>
						</narrativeCode>
					</providerNarrative>
					<healthConcernNotesEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>GUI ALLOWS NON 799.9 CODES</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
					</healthConcernNotesEvent>
				</healthConcern>
				<healthConcern>
					<patient>
						<identifier>
							<identity>74</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETFOURFIFTY</family>
						</name>
					</patient>
					<chronicityCode>
						<alternateCode>A</alternateCode>
						<alternateCodingSystem>L</alternateCodingSystem>
						<alternateDisplayText>Acute</alternateDisplayText>
					</chronicityCode>
					<dateLastModified>
						<literal>19990708000000-0500</literal>
					</dateLastModified>
					<entryId>
						<assigningAuthorityName>USVHA</assigningAuthorityName>
						<extension>1</extension>
					</entryId>
					<healthConcernStatus>
						<alternateCode>A</alternateCode>
						<alternateCodingSystem>580_9000011_12</alternateCodingSystem>
						<alternateDisplayText>ACTIVE</alternateDisplayText>
					</healthConcernStatus>
					<concernDurations>
						<concernDuration>
							<low>
								<literal>19990708-0500</literal>
							</low>
						</concernDuration>
					</concernDurations>
					<recordDisposition>P</recordDisposition>
					<dataEnterer>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</dataEnterer>
					<author>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</author>
					<clinic>
						<locationId>
							<pointOfCare>AUDIOLOGY</pointOfCare>
							<room>64</room>
						</locationId>
					</clinic>
					<facility>
						<locationCode>
							<code>17005</code>
							<displayText>WASHINGTON VAMC</displayText>
							<codingSystem>L</codingSystem>
						</locationCode>
					</facility>
					<recordSource>
						<namespaceId>580_55.05</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<recordIdentifier>
						<identity>153</identity>
						<namespaceId>580</namespaceId>
					</recordIdentifier>
					<responsibleProviders>
						<responsibleProvider>
							<practitioner>
								<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>
							</practitioner>
						</responsibleProvider>
					</responsibleProviders>
					<diagnosesList>
						<diagnosisList>
							<diagnosis>
								<icdCodes>
									<icdCode>
										<alternateCode>611.4</alternateCode>
										<alternateCodingSystem>580_80</alternateCodingSystem>
										<alternateDisplayText>ATROPHY OF BREAST</alternateDisplayText>
									</icdCode>
								</icdCodes>
							</diagnosis>
						</diagnosisList>
					</diagnosesList>
					<specialInterestsFlag>
						<specialInterestFlag>
							<factor>
								<code>SERVICE_CONNECTED</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>AGENT_ORANGE_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>IONIZING_RADIATION_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>PERSIAN_GULF_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
					</specialInterestsFlag>
					<expression>
						<expressionText>Breast Atrophy</expressionText>
						<expressionCode>
							<alternateCode>263787</alternateCode>
							<alternateCodingSystem>580_757_01</alternateCodingSystem>
							<alternateDisplayText>Breast Atrophy</alternateDisplayText>
						</expressionCode>
					</expression>
					<providerNarrative>
						<narrativeText>Breast Atrophy</narrativeText>
						<narrativeCode>
							<alternateDisplayText>Breast Atrophy</alternateDisplayText>
						</narrativeCode>
					</providerNarrative>
					<healthConcernNotesEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>TESTING</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
					</healthConcernNotesEvent>
				</healthConcern>
				<healthConcern>
					<patient>
						<identifier>
							<identity>74</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETFOURFIFTY</family>
						</name>
					</patient>
					<chronicityCode>
						<alternateCode>C</alternateCode>
						<alternateCodingSystem>L</alternateCodingSystem>
						<alternateDisplayText>Chronic</alternateDisplayText>
					</chronicityCode>
					<dateLastModified>
						<literal>19990708000000-0500</literal>
					</dateLastModified>
					<entryId>
						<assigningAuthorityName>USVHA</assigningAuthorityName>
						<extension>2</extension>
					</entryId>
					<healthConcernStatus>
						<alternateCode>A</alternateCode>
						<alternateCodingSystem>580_9000011_12</alternateCodingSystem>
						<alternateDisplayText>ACTIVE</alternateDisplayText>
					</healthConcernStatus>
					<concernDurations>
						<concernDuration>
							<low>
								<literal>19990608-0500</literal>
							</low>
						</concernDuration>
					</concernDurations>
					<recordDisposition>P</recordDisposition>
					<dataEnterer>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</dataEnterer>
					<author>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</author>
					<clinic>
						<locationId>
							<pointOfCare>AUDIOLOGY</pointOfCare>
							<room>64</room>
						</locationId>
					</clinic>
					<facility>
						<locationCode>
							<code>17005</code>
							<displayText>WASHINGTON VAMC</displayText>
							<codingSystem>L</codingSystem>
						</locationCode>
					</facility>
					<recordSource>
						<namespaceId>580_55.05</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<recordIdentifier>
						<identity>154</identity>
						<namespaceId>580</namespaceId>
					</recordIdentifier>
					<responsibleProviders>
						<responsibleProvider>
							<practitioner>
								<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>
							</practitioner>
						</responsibleProvider>
					</responsibleProviders>
					<diagnosesList>
						<diagnosisList>
							<diagnosis>
								<icdCodes>
									<icdCode>
										<alternateCode>278.00</alternateCode>
										<alternateCodingSystem>580_80</alternateCodingSystem>
										<alternateDisplayText>OBESITY, UNSPECIFIED</alternateDisplayText>
									</icdCode>
								</icdCodes>
							</diagnosis>
						</diagnosisList>
					</diagnosesList>
					<specialInterestsFlag>
						<specialInterestFlag>
							<factor>
								<code>SERVICE_CONNECTED</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>AGENT_ORANGE_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>IONIZING_RADIATION_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>PERSIAN_GULF_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
					</specialInterestsFlag>
					<expression>
						<expressionText>Obesity</expressionText>
						<expressionCode>
							<alternateCode>84823</alternateCode>
							<alternateCodingSystem>580_757_01</alternateCodingSystem>
							<alternateDisplayText>Obesity</alternateDisplayText>
						</expressionCode>
					</expression>
					<providerNarrative>
						<narrativeText>Obesity</narrativeText>
						<narrativeCode>
							<alternateDisplayText>Obesity</alternateDisplayText>
						</narrativeCode>
					</providerNarrative>
					<healthConcernNotesEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>ADDED FROM CPRS LM</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
					</healthConcernNotesEvent>
				</healthConcern>
				<healthConcern>
					<patient>
						<identifier>
							<identity>74</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETFOURFIFTY</family>
						</name>
					</patient>
					<dateLastModified>
						<literal>19990708000000-0500</literal>
					</dateLastModified>
					<entryId>
						<assigningAuthorityName>USVHA</assigningAuthorityName>
						<extension>4</extension>
					</entryId>
					<healthConcernStatus>
						<alternateCode>A</alternateCode>
						<alternateCodingSystem>580_9000011_12</alternateCodingSystem>
						<alternateDisplayText>ACTIVE</alternateDisplayText>
					</healthConcernStatus>
					<concernDurations>
						<concernDuration>
							<low>
								<literal>19990618-0500</literal>
							</low>
						</concernDuration>
					</concernDurations>
					<recordDisposition>P</recordDisposition>
					<dataEnterer>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</dataEnterer>
					<author>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</author>
					<clinic>
						<locationId>
							<pointOfCare>AUDIOLOGY</pointOfCare>
							<room>64</room>
						</locationId>
					</clinic>
					<facility>
						<locationCode>
							<code>500</code>
							<displayText>CAMP MASTER</displayText>
							<codingSystem>L</codingSystem>
						</locationCode>
					</facility>
					<recordSource>
						<namespaceId>580_55.05</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<recordIdentifier>
						<identity>155</identity>
						<namespaceId>580</namespaceId>
					</recordIdentifier>
					<responsibleProviders>
						<responsibleProvider>
							<practitioner>
								<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>
							</practitioner>
						</responsibleProvider>
					</responsibleProviders>
					<diagnosesList>
						<diagnosisList>
							<diagnosis>
								<icdCodes>
									<icdCode>
										<alternateCode>786.50</alternateCode>
										<alternateCodingSystem>580_80</alternateCodingSystem>
										<alternateDisplayText>UNSPECIFIED CHEST PAIN</alternateDisplayText>
									</icdCode>
								</icdCodes>
							</diagnosis>
						</diagnosisList>
					</diagnosesList>
					<specialInterestsFlag>
						<specialInterestFlag>
							<factor>
								<code>SERVICE_CONNECTED</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>AGENT_ORANGE_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>IONIZING_RADIATION_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
						<specialInterestFlag>
							<factor>
								<code>PERSIAN_GULF_EXPOSURE</code>
							</factor>
							<factorValue>
								<code>0</code>
								<displayText>NO</displayText>
							</factorValue>
						</specialInterestFlag>
					</specialInterestsFlag>
					<expression>
						<expressionText>Chest Pain</expressionText>
						<expressionCode>
							<alternateCode>22484</alternateCode>
							<alternateCodingSystem>580_757_01</alternateCodingSystem>
							<alternateDisplayText>Chest Pain</alternateDisplayText>
						</expressionCode>
					</expression>
					<providerNarrative>
						<narrativeText>Chest Pain</narrativeText>
						<narrativeCode>
							<alternateDisplayText>Chest Pain</alternateDisplayText>
						</narrativeCode>
					</providerNarrative>
					<healthConcernNotesEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>ADDED FROM GUI</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
					</healthConcernNotesEvent>
				</healthConcern>
				<healthConcern>
					<patient>
						<identifier>
							<identity>74</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETFOURFIFTY</family>
						</name>
					</patient>
					<dateLastModified>
						<literal>19990708000000-0500</literal>
					</dateLastModified>
					<entryId>
						<assigningAuthorityName>USVHA</assigningAuthorityName>
						<extension>5</extension>
					</entryId>
					<healthConcernStatus>
						<alternateCode>A</alternateCode>
						<alternateCodingSystem>580_9000011_12</alternateCodingSystem>
						<alternateDisplayText>ACTIVE</alternateDisplayText>
					</healthConcernStatus>
					<recordDisposition>T</recordDisposition>
					<dataEnterer>
						<time>
							<literal>19990708-0500</literal>
						</time>
						<practitioner>
							<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>
						</practitioner>
					</dataEnterer>
					<author>
						<practitioner>
							<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>
						</practitioner>
					</author>
					<clinic>
						<locationId>
							<pointOfCare>45 CLINIC PATTERN</pointOfCare>
							<room>206</room>
						</locationId>
					</clinic>
					<facility>
						<locationCode>
							<code>500</code>
							<displayText>CAMP MASTER</displayText>
							<codingSystem>L</codingSystem>
						</locationCode>
					</facility>
					<recordSource>
						<namespaceId>580_55.05</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<recordIdentifier>
						<identity>156</identity>
						<namespaceId>580</namespaceId>
					</recordIdentifier>
					<responsibleProviders>
						<responsibleProvider>
							<practitioner>
								<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>
							</practitioner>
						</responsibleProvider>
					</responsibleProviders>
					<diagnosesList>
						<diagnosisList>
							<diagnosis>
								<icdCodes>
									<icdCode>
										<alternateCode>388.70</alternateCode>
										<alternateCodingSystem>580_80</alternateCodingSystem>
										<alternateDisplayText>OTALGIA, UNSPECIFIED</alternateDisplayText>
									</icdCode>
								</icdCodes>
							</diagnosis>
						</diagnosisList>
					</diagnosesList>
					<specialInterestsFlag/>
					<expression>
						<expressionText>Otalgia</expressionText>
						<expressionCode>
							<alternateCode>37811</alternateCode>
							<alternateCodingSystem>580_757_01</alternateCodingSystem>
							<alternateDisplayText>Otalgia</alternateDisplayText>
						</expressionCode>
					</expression>
					<providerNarrative>
						<narrativeText>Earache * (ICD-9-CM 388.70)</narrativeText>
						<narrativeCode>
							<alternateDisplayText>Earache * (ICD-9-CM 388.70)</alternateDisplayText>
						</narrativeCode>
					</providerNarrative>
					<healthConcernNotesEvent>
						<healthConcernNoteEvent>
							<narrative>
								<value>@</value>
							</narrative>
							<status>
								<alternateCode>ACTIVE</alternateCode>
								<alternateCodingSystem>580_9000011_1111</alternateCodingSystem>
								<alternateDisplayText>ACTIVE</alternateDisplayText>
							</status>
							<author>
								<practitioner>
									<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>
								</practitioner>
							</author>
							<facilities>
								<locationCode>
									<code>V</code>
									<displayText>CAMP MASTER</displayText>
									<codingSystem>580_9999999.6</codingSystem>
								</locationCode>
							</facilities>
						</healthConcernNoteEvent>
					</healthConcernNotesEvent>
				</healthConcern>
			</healthConcerns>
		</patient>
	</patients>
</clinicaldata:ClinicalData>
