<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>IntoleranceConditionReducedRead40011</templateId>
	<requestId>03716014-5C85-3413-C3CC-F36733B947C6</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>VISN14_35560444.32</identity>
				<namespaceId>605_120.8</namespaceId>
				<universalId>VISN15_66338528.32</universalId>
				<universalIdType>VISN4_28005990.32</universalIdType>
			</recordIdentifier>
			<observationTime>
				<literal>20070604231605</literal>
			</observationTime>
			<agent>
				<code>1035</code>
				<displayText>ASPIRIN</displayText>
			</agent>
			<recordSource>
				<namespaceId>605</namespaceId>
			</recordSource>
			<recordVersion>1</recordVersion>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>VISN11_61786015.62</identity>
				<namespaceId>605_120.8</namespaceId>
				<universalId>VISN2_20761125.62</universalId>
				<universalIdType>VISN17_17633469.62</universalIdType>
			</recordIdentifier>
			<observationTime>
				<literal>20070609020755</literal>
			</observationTime>
			<agent>
				<code>1044</code>
				<displayText>COUGH SYRUP AND SPINACH</displayText>
			</agent>
			<recordSource>
				<namespaceId>605</namespaceId>
			</recordSource>
			<recordVersion>1</recordVersion>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>VISN14_82180145.77</identity>
				<namespaceId>605_120.8</namespaceId>
				<universalId>VISN13_75402310.77</universalId>
				<universalIdType>VISN21_54308265.77</universalIdType>
			</recordIdentifier>
			<observationTime>
				<literal>20070608081410</literal>
			</observationTime>
			<agent>
				<code>1035</code>
				<displayText>ASPIRIN</displayText>
			</agent>
			<recordSource>
				<namespaceId>605</namespaceId>
			</recordSource>
			<recordVersion>1</recordVersion>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>1</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19920630000000-0500</literal>
			</observationTime>
			<agent>
				<code>MILK, ICE CREAM, YOGURT ( FREE TEXT )</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>2</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19920630000000-0500</literal>
			</observationTime>
			<agent>
				<code>SULFA DRUGS</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>3</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19920630000000-0500</literal>
			</observationTime>
			<agent>
				<code>PENICILLIN</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>4</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19920630000000-0500</literal>
			</observationTime>
			<agent>
				<code>ASPIRIN</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>53</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19921021151200-0500</literal>
			</observationTime>
			<agent>
				<code>VANNA</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>107</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19940131142200-0600</literal>
			</observationTime>
			<agent>
				<code>CYCLOPHOSPHAMIDE</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>108</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19940131142900-0600</literal>
			</observationTime>
			<agent>
				<code>TESTOSTERONE</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>109</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19940207091600-0600</literal>
			</observationTime>
			<agent>
				<code>TUNA FISH</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>110</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19940207092400-0600</literal>
			</observationTime>
			<agent>
				<code>TUNA FISH</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>111</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19940207093500-0600</literal>
			</observationTime>
			<agent>
				<code>TUNA</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>112</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19940207102600-0600</literal>
			</observationTime>
			<agent>
				<code>DOG HAIR ( FREE TEXT )</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>241</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19940516092800-0500</literal>
			</observationTime>
			<agent>
				<code>MESSINA ( FREE TEXT )</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>320</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19941116162250-0600</literal>
			</observationTime>
			<agent>
				<code>RADIOLOGICAL/CONTRAST MEDIA</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>361</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19950526121800-0500</literal>
			</observationTime>
			<agent>
				<code>XXX - NKA (DO NOT USE)</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>388</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19960314133200-0600</literal>
			</observationTime>
			<agent>
				<code>TETRACYCLINE</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>389</identity>
				<namespaceId>580_120.8</namespaceId>
			</recordIdentifier>
			<observationTime>
				<literal>19960314133300-0600</literal>
			</observationTime>
			<agent>
				<code>TETRACYCLINE</code>
			</agent>
			<recordSource>
				<universalId>CPM.DNS      URL        </universalId>
				<universalIdType>DNS</universalIdType>
			</recordSource>
		</intoleranceConditions>
	</patient>
</clinicaldata:ClinicalData>