<?xml version="1.0" encoding='utf-8'?>
<releaseOfInformation>
	<recordIdentifier>
		<identity column = 'ROI IEN'/>
		<namespaceId column = 'SITE ID'/>
	</recordIdentifier>
	<patient>
		<identifier>
			<identity column = 'PATIENT IEN'/>
			<assigningFacility column = 'SITE ID'/>
			<assigningAuthority>USVHA</assigningAuthority>
		</identifier>
		<name> 
			<prefix column = 'PATIENT PREFIX'/>
			<given column = 'PATIENT GIVEN'/>
			<middle column = 'PATIENT MIDDLE'/>		
			<family column = 'PATIENT FAMILY'/>		
			<suffix column = 'PATIENT SUFFIX'/>	
			<title column = 'PATIENT TITLE'/>																	
			<displayName column = 'PATIENT NAME'/>
		</name>
	</patient>	
	<name column = 'ROI NAME'/>
	<typeOfRequest column = 'TYPE OF REQUEST'/>
	<requestor column = 'REQUESTOR'/>	
	<authority column = 'AUTHORITY'/>
	<status column = 'STATUS'/>
	<recievedDateTime>
		<literal column = 'RECEIVED DATE'/>
	</recievedDateTime>
	<closedDateTime>
		<literal column = 'CLOSED DATE'/>
	</closedDateTime>		
	<facility column =  'STATION NUMBER'/>			
</releaseOfInformation>