<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>ImmunizationRead3</templateId>
	<requestId>B1262EA9-6733-7DF4-89DB-C6E4775DF701</requestId>
	<patients>
		<patient>
			<requestedResolvedIdentifiers>
				<requestedResolvedIdentifier>
					<identity>84</identity>
					<assigningFacility>580</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</requestedResolvedIdentifier>
			</requestedResolvedIdentifiers>
			<resultantIdentifiers>
				<resultantIdentifier>
					<identity>84</identity>
					<assigningFacility>580</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</resultantIdentifier>
			</resultantIdentifiers>
			<immunizationEvents>
				<immunizationEvent>
					<contraIndication>
						<code>0</code>
						<displayText>NO (OK TO USE IN THE FUTURE)</displayText>
					</contraIndication>
					<date>
						<literal>19980717-0500</literal>
					</date>
					<recordIdentifier>
						<identity>34</identity>
						<namespaceId>580_9000010_11</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordIdentifier>
					<series>
						<alternateCode>C</alternateCode>
						<alternateDisplayText>COMPLETE</alternateDisplayText>
					</series>
					<visit>
						<comments>
							<comment>JUST ADDING STUFF</comment>
						</comments>
						<serviceCategory>
							<alternateCode>E</alternateCode>
							<alternateDisplayText>EVENT (HISTORICAL)</alternateDisplayText>
						</serviceCategory>
						<visitDate>
							<low>
								<literal>19980720104418-0500</literal>
							</low>
						</visitDate>
						<visitId>
							<identity>1242-ALN</identity>
							<namespaceId>580_9000010</namespaceId>
						</visitId>
						<visitAdmitDate>
							<literal>19980717120000-0500</literal>
						</visitAdmitDate>
					</visit>
					<performer>
						<identifier>
							<identity>983</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<idSourceTable>VISTA200</idSourceTable>
						<name>
							<given>ONE</given>
							<family>PROVIDER</family>
							<title>Scholar Extraordinaire</title>
						</name>
					</performer>
					<patient>
						<identifier>
							<identity>84</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETONETWENTYNINE</family>
						</name>
					</patient>
					<recordSource>
						<namespaceId>580_9000010_11</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<auditTrail>9-A 1999;</auditTrail>
					<comments>No problems</comments>
					<dataSource>
						<sourceName>PXCE DATA ENTRY</sourceName>
					</dataSource>
					<softwarePackage>
						<name>PCE PATIENT CARE ENCOUNTER</name>
					</softwarePackage>
					<reactionObservationEvents>
						<reactionObservationEvent>
							<reaction>
								<code>0</code>
								<displayText>NONE</displayText>
							</reaction>
						</reactionObservationEvent>
					</reactionObservationEvents>
					<immunizationAdministered>
						<immunizationName>HEPATITIS B</immunizationName>
						<immunizationShortName>HEP B</immunizationShortName>
					</immunizationAdministered>
				</immunizationEvent>
				<immunizationEvent>
					<contraIndication>
						<code>0</code>
						<displayText>NO (OK TO USE IN THE FUTURE)</displayText>
					</contraIndication>
					<date>
						<literal>19980617-0500</literal>
					</date>
					<recordIdentifier>
						<identity>35</identity>
						<namespaceId>580_9000010_11</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordIdentifier>
					<series>
						<alternateCode>B</alternateCode>
						<alternateDisplayText>BOOSTER</alternateDisplayText>
					</series>
					<visit>
						<comments>
							<comment>JUST ADDING STUFF</comment>
						</comments>
						<serviceCategory>
							<alternateCode>E</alternateCode>
							<alternateDisplayText>EVENT (HISTORICAL)</alternateDisplayText>
						</serviceCategory>
						<visitDate>
							<low>
								<literal>19980720104418-0500</literal>
							</low>
						</visitDate>
						<visitId>
							<identity>1242-ALN</identity>
							<namespaceId>580_9000010</namespaceId>
						</visitId>
						<visitAdmitDate>
							<literal>19980717120000-0500</literal>
						</visitAdmitDate>
					</visit>
					<performer>
						<identifier>
							<identity>983</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<idSourceTable>VISTA200</idSourceTable>
						<name>
							<given>ONE</given>
							<family>PROVIDER</family>
							<title>Scholar Extraordinaire</title>
						</name>
					</performer>
					<patient>
						<identifier>
							<identity>84</identity>
							<assigningFacility>580</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<name>
							<given>PATIENT</given>
							<family>ZZZRETONETWENTYNINE</family>
						</name>
					</patient>
					<recordSource>
						<namespaceId>580_9000010_11</namespaceId>
						<universalId>CPM.DNS      URL        </universalId>
						<universalIdType>DNS</universalIdType>
					</recordSource>
					<auditTrail>9-A 1999;</auditTrail>
					<dataSource>
						<sourceName>PXCE DATA ENTRY</sourceName>
					</dataSource>
					<softwarePackage>
						<name>PCE PATIENT CARE ENCOUNTER</name>
					</softwarePackage>
					<reactionObservationEvents>
						<reactionObservationEvent>
							<reaction>
								<code>1</code>
								<displayText>FEVER</displayText>
							</reaction>
						</reactionObservationEvent>
					</reactionObservationEvents>
					<immunizationAdministered>
						<immunizationName>INFLUENZA</immunizationName>
						<immunizationShortName>INFLUENZA</immunizationShortName>
					</immunizationAdministered>
				</immunizationEvent>
			</immunizationEvents>
		</patient>
	</patients>
</clinicaldata:ClinicalData>