<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>IntoleranceConditionRead40010</templateId>
	<requestId>C8EAF3D9-DA2D-591A-09AA-0AD7DCE72469</requestId>
	<patient>
		<requestedResolvedIdentifiers>
			<identity>1</identity>
			<assigningFacility>580</assigningFacility>
			<assigningAuthority>USVHA</assigningAuthority>
		</requestedResolvedIdentifiers>
		<requestedResolvedIdentifiers>
			<identity>test_sourceid_10000</identity>
			<assigningFacility>200CH</assigningFacility>
			<assigningAuthority>USDOD</assigningAuthority>
		</requestedResolvedIdentifiers>
		<resultantIdentifiers>
			<identity>1</identity>
			<assigningFacility>580</assigningFacility>
			<assigningAuthority>USVHA</assigningAuthority>
		</resultantIdentifiers>
		<resultantIdentifiers>
			<identity>test_sourceid_10000</identity>
			<assigningFacility>200CH</assigningFacility>
			<assigningAuthority>USDOD</assigningAuthority>
		</resultantIdentifiers>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>VISN11_61786015.62</identity>
				<namespaceId>605_120.8</namespaceId>
				<universalId>VISN2_20761125.62</universalId>
				<universalIdType>VISN17_17633469.62</universalIdType>
			</recordIdentifier>
			<patient>
				<identifier>
					<identity>test_sourceid_10000</identity>
					<assigningFacility>200CH</assigningFacility>
					<assigningAuthority>USDOD</assigningAuthority>
				</identifier>
				<name>
					<family>IUWAMSQKMXEE</family>
				</name>
			</patient>
			<observationTime>
				<literal>20070609020755</literal>
			</observationTime>
			<agent>
				<code>1044</code>
				<displayText>COUGH SYRUP AND SPINACH</displayText>
			</agent>
			<allergyType>
				<code>98548</code>
				<displayText>DRUG</displayText>
			</allergyType>
			<gmrAllergyAgent>
				<code>879452</code>
				<displayText>COUGH</displayText>
				<codingSystem>99VA</codingSystem>
			</gmrAllergyAgent>
			<informationSourceCategory>
				<code>1002</code>
				<displayText>OBSERVED</displayText>
			</informationSourceCategory>
			<mechanism>
				<code>1028</code>
				<displayText>PHARMACOLOGIC</displayText>
			</mechanism>
			<status>F</status>
			<verified>T</verified>
			<reaction>
				<observationTime>
					<literal>20070617033531</literal>
				</observationTime>
				<reaction>
					<code>1020</code>
					<displayText>KIDNEY DAMAGE</displayText>
				</reaction>
				<author>
					<comment>uypQvoEVrwqPVwMGJYkMFeGeLekqQLsuxzpbEBGKpIRMvhTjHSmPYhoFcZHMAxPowfqZySQyhCYAMaNSxWGptgAZZxnE
					</comment>
					<time>
						<literal>20070614122843</literal>
					</time>
					<practitioner>
						<identifier>
							<identity>test_id_883</identity>
							<assigningFacility>visn 11</assigningFacility>
						</identifier>
						<idSourceTable>VyloImtAjhoULPkHBYZwNBtdPOVcdewoOjVKLt
						</idSourceTable>
						<name>
							<family>FXDIRKMARM</family>
						</name>
					</practitioner>
				</author>
			</reaction>
			<author>
				<comment>IuJGGhdanonrlfpkvDMYtwozCytqIqPhximKrRjwEclnEbRQdIhCJYlLtCwOXsHkWZCdwZhAgyMxYGQgHbtROBsrliYPKrhbCnQBBzQJHuzheBrBepgmuAcHIatHRPbimdyZFgpPWtztCksPYECEsKiKOKISOrruXyHkihQAifgwlUXgfvLKZKsBnGsUYgJtrGdkRIQHkiBeeGruFTcnBkvKFzEGOZualJhCdooPdMoEQjvsaVHaREExGhrfiLhWsigIufKigRrSUqDgVMhfeyXsrZiMzWlVvVMKPFbHmzslvHdbtZKNKFOjHPUuBwEcmEdjweoHLaQaGATlytZJbAFDkgFQBfkYDWUsmRi
				</comment>
				<time>
					<literal>20070615091942</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_id_240</identity>
						<assigningFacility>visn 15</assigningFacility>
					</identifier>
					<idSourceTable>zbnQG</idSourceTable>
					<name>
						<family>KDEWCOYEQLSRAZFMQHYSJWJBVZ</family>
					</name>
				</practitioner>
			</author>
			<drugClass>
				<code>
					<code>1727</code>
					<displayText>NONSTEROIDAL ANTI-INFLAMMATORY DRUGS</displayText>
				</code>
			</drugClass>
			<facilityIdentifier>
				<identity>526</identity>
				<name>JAMES J. PETERS VA MEDICAL CENTER</name>
			</facilityIdentifier>
			<recordSource>
				<namespaceId>605</namespaceId>
			</recordSource>
			<recordVersion>1</recordVersion>
			<recordUpdateTime>
				<literal>20070704170706</literal>
			</recordUpdateTime>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>VISN14_82180145.77</identity>
				<namespaceId>605_120.8</namespaceId>
				<universalId>VISN13_75402310.77</universalId>
				<universalIdType>VISN21_54308265.77</universalIdType>
			</recordIdentifier>
			<patient>
				<identifier>
					<identity>test_sourceid_10000</identity>
					<assigningFacility>200CH</assigningFacility>
					<assigningAuthority>USDOD</assigningAuthority>
				</identifier>
				<name>
					<family>SWQHAMKWKSEZWRIYWUFDJEXCXLXV</family>
				</name>
			</patient>
			<observationTime>
				<literal>20070608081410</literal>
			</observationTime>
			<agent>
				<code>1035</code>
				<displayText>ASPIRIN</displayText>
			</agent>
			<allergyType>
				<code>98549</code>
				<displayText>OTHER</displayText>
			</allergyType>
			<gmrAllergyAgent>
				<code>879454</code>
				<displayText>RASH</displayText>
				<codingSystem>99VA</codingSystem>
			</gmrAllergyAgent>
			<informationSourceCategory>
				<code>1003</code>
				<displayText>HISTORICAL</displayText>
			</informationSourceCategory>
			<mechanism>
				<code>1028</code>
				<displayText>PHARMACOLOGIC</displayText>
			</mechanism>
			<status>WAIT</status>
			<verified>T</verified>
			<reaction>
				<observationTime>
					<literal>20070616140101</literal>
				</observationTime>
				<reaction>
					<code>1016</code>
					<displayText>COUGHING</displayText>
				</reaction>
				<author>
					<comment>gGscdSbcQqmXYhcftyMYBVEaWErWhfijwgGToSTbcnlYCPUrHIDmTzADKkyKxKLNXtqNAvHVlyxDkZRdNvJAeimGRFdmdfozgclCKcMtHAqDYRgXfHLctxToyUzdawURbiGvBeWUvzEDATewNpOWcIoexlflYhKijwzavDsaHPftQxlLKOzDEIwZUmgaMhDevDdwWWXUEuPtGZpHzfodqHHDifBHlvFDSJpnUJfOIPxLimgTRVECpKieje
					</comment>
					<time>
						<literal>20070611110405</literal>
					</time>
					<practitioner>
						<identifier>
							<identity>test_id_957</identity>
							<assigningFacility>visn 19</assigningFacility>
						</identifier>
						<idSourceTable>IRdX</idSourceTable>
						<name>
							<family>BCQNRKLEXTUMWULAAC</family>
						</name>
					</practitioner>
				</author>
			</reaction>
			<author>
				<comment>fZRtfbMdBhAKRljPEWCnFIXBeQcHmQvYtDBeUvuyZpWZDsKIRaixtPbJptARrIBukBpmgdNeMZMIAiKvqLEgfXijwBwMDwtKrMMjVYndzvFuxmFgFEyXfkehDmzjZHoElZsWHxZpHKadJoPCFvkigXrvyLTvfbikVyQFjfVMOZBpYujIhjSGffzjkMRnYIacIritUlOUUlYFSaEgulBKGiTFKisIovoXQjjsgxdCUqLxGDPfxTxfqthTaaCIhCr
				</comment>
				<time>
					<literal>20070610041149</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_id_728</identity>
						<assigningFacility>visn 18</assigningFacility>
					</identifier>
					<idSourceTable>UHxyYhiPcNINljkICqoepVqqKlAO</idSourceTable>
					<name>
						<family>K</family>
					</name>
				</practitioner>
			</author>
			<commentEvents>
				<date>
					<literal>20070624101601</literal>
				</date>
				<author>
					<identifier>
						<identity>test_id_928</identity>
						<assigningFacility>visn 16</assigningFacility>
					</identifier>
					<idSourceTable>ClMUemRHDcMHscizFfkjOjYREYszdN</idSourceTable>
					<name>
						<family>LDKHINVAVZGEYTEDW</family>
					</name>
				</author>
				<commentType>
					<code>23892398</code>
					<displayText>NORMAL TEXT</displayText>
				</commentType>
				<comments>EPFCDECKEZTPFYOMJJRVCVXQAWPFIFIEEMMPINRMMOPBYURICWYYCQCFMUHMKKOJLGFNLFZWXHWAQOZDSNDLWKJRGUCTXFWYUVOKAQFADVZSFCIFILXHVXASAHHJLVVSCLKQFEEWJDEBNSWPFAASDWRVCVTMLATGGJJKGNCROBIIPWHFHHCPRMNFHE
				</comments>
				<comments>REXDPMNLUFYGTCJBTTYAKDVBDMGMONMBLKFHAPUCVVOYJQEILK
				</comments>
				<comments>PKZEUREPDAAMFPEOUSDEOOMZUUZJOXVBZNRVDOVLBQHIKZCSBTIWZXNJFZOJPZRCOSIJDZZVIKNYOPRWOIFOVILEMGFSNMNPJPSOZBOKEWUOMFGTHUYKHCHBYOBRLNLRAFNNQGGSEACHORXUADCVPVRHETGKOACEBIBDLMLMVARVUEWZRENBICZEZTYFGJWGIELZEJHVEURKZNHWYTMWCCIBBZJS
				</comments>
				<comments>ITEEDVZODVWYELHPHAXMKCJLFIKEUSASAZJXNJNQCSWXXESJJZNKLCHOBOIXOZGDVFWRUVGJSUKIHCUPHYOGVHGBORVBIUUXXTPSAZTCUYSSECDJMXDJGNFJXSTDPAHQOAAHBORBWHZAJKKAPZLPHAGULJVQZASIYSAGQUKIEDJPXQJMSFSXANLZJVXBOJJVAZGZFVJUCVFFQQHDONNAODIIOYHEEUEECQPDMSGUAXCRDSDYJKBDNRDOXOEKQNZFLUIDINYPKPRSVLHXJJHSMITAFTNCFFALRKUMFCNUZTVJDLMHYMCCVSGQOVGOTZBCZMEBOVSJDDBQTG
				</comments>
				<comments>DGPFBYGCGGABYBOXZGAKSGEQBPDSOYNTULLPRFDJFNGAQJPIJDMIZKXFWSYQXTWBRMQQHSGFUGLIQTYLTPBOJLZQDKFOZAKXAXQXCVODKXRPEWQPIZEGF
				</comments>
			</commentEvents>
			<commentEvents>
				<date>
					<literal>20070624173326</literal>
				</date>
				<author>
					<identifier>
						<identity>test_id_699</identity>
						<assigningFacility>visn 17</assigningFacility>
					</identifier>
					<idSourceTable>tIOlhFoHDNlfbeHZkHcQfNYTUqJrFkunpJq</idSourceTable>
					<name>
						<family>RYNYXIUKFTVRIVNLYHG</family>
					</name>
				</author>
				<commentType>
					<code>23892398</code>
					<displayText>NORMAL TEXT</displayText>
				</commentType>
			</commentEvents>
			<drugIngredient>
				<code>
					<code>98461</code>
					<displayText>ASCORBIC ACID</displayText>
				</code>
			</drugIngredient>
			<drugIngredient>
				<code>
					<code>98464</code>
					<displayText>TENOXICAM</displayText>
				</code>
			</drugIngredient>
			<facilityIdentifier>
				<identity>520</identity>
				<name>VA GULF COAST VETERANS HEALTH CARE SYSTEM</name>
			</facilityIdentifier>
			<recordSource>
				<namespaceId>605</namespaceId>
			</recordSource>
			<recordVersion>1</recordVersion>
			<recordUpdateTime>
				<literal>20070704170706</literal>
			</recordUpdateTime>
		</intoleranceConditions>
	</patient>
</clinicaldata:ClinicalData>