<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>IntoleranceConditionCreate40020</templateId>
	<patient>
		<intoleranceConditions>
			<recordIdentifier>
				<identity>ID_127145081172210000</identity>
				<namespaceId>DefaultAssigningFacility</namespaceId>
				<universalId>UID_127145081172210000</universalId>
				<universalIdType>aUniversalIdType</universalIdType>
			</recordIdentifier>
			<patient>
				<identifier>
					<identity>intoleranceConditionTest</identity>
					<assigningFacility>intoleranceConditionTest</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
				<name>
					<prefix>Prefix</prefix>
					<given>Given</given>
					<middle>MiddleName</middle>
					<family>FamilyName</family>
					<suffix>Suffix</suffix>
					<title>Title</title>
				</name>
			</patient>
			<observationTime>
				<literal>19691231170000</literal>
			</observationTime>
			<agent>
				<code>Sulfa</code>
				<displayText>AgentDisplayTextLite</displayText>
				<codingSystem>AgentCodingSystemLite</codingSystem>
			</agent>
			<allergyType>
				<code>Drug</code>
				<displayText>AllergyTypeDisplayTextLite</displayText>
				<codingSystem>AllergyTypeCodingSystemLite</codingSystem>
			</allergyType>
			<gmrAllergyAgent>
				<code>Sulfa</code>
				<displayText>AgentDisplayText</displayText>
				<codingSystem>AgentCodingSystem</codingSystem>
				<alternateCode>Agenttest_altcode_3002</alternateCode>
				<alternateDisplayText>AgentAltDisplayTextLite</alternateDisplayText>
				<alternateCodingSystem>AgentAltCodingSystem</alternateCodingSystem>
			</gmrAllergyAgent>
			<informationSourceCategory>
				<code>test_code_2004</code>
				<displayText>ISC DisplayTextLite</displayText>
				<codingSystem>ISC CodingSystemLite</codingSystem>
			</informationSourceCategory>
			<mechanism>
				<code>test_code_2002</code>
				<displayText>Mechanism DisplayTextLite</displayText>
				<codingSystem>Mechanism CodingSystemLite</codingSystem>
			</mechanism>
			<status>Status</status>
			<verified>true</verified>
			<reaction>
				<observationTime>
					<literal>19691231170000</literal>
				</observationTime>
				<reaction>
					<code>test_code_2003</code>
					<displayText>Reaction DisplayTextLite</displayText>
					<codingSystem>Reaction CodingSystemLite</codingSystem>
				</reaction>
				<author>
					<comment>Comment</comment>
					<time>
						<literal>20100416144651</literal>
					</time>
					<practitioner>
						<identifier>
							<identity>test_eid_1003</identity>
							<assigningFacility>DefaultAssigningFacility</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<idSourceTable>IdSourceTable</idSourceTable>
						<name>
							<prefix>Prefix</prefix>
							<given>Given</given>
							<middle>MiddleName</middle>
							<family>FamilyName</family>
							<suffix>Suffix</suffix>
							<title>Title</title>
						</name>
					</practitioner>
				</author>
			</reaction>
			<reaction>
				<observationTime>
					<literal>19691231170000</literal>
				</observationTime>
				<reaction>
					<code>test_code_2001</code>
					<displayText>Reaction DisplayTextLite</displayText>
					<codingSystem>Reaction CodingSystemLite</codingSystem>
				</reaction>
				<author>
					<comment>Comment</comment>
					<time>
						<literal>20100416144651</literal>
					</time>
					<practitioner>
						<identifier>
							<identity>test_eid_1001</identity>
							<assigningFacility>DefaultAssigningFacility</assigningFacility>
							<assigningAuthority>USVHA</assigningAuthority>
						</identifier>
						<idSourceTable>IdSourceTable</idSourceTable>
						<name>
							<prefix>Prefix</prefix>
							<given>Given</given>
							<middle>MiddleName</middle>
							<family>FamilyName</family>
							<suffix>Suffix</suffix>
							<title>Title</title>
						</name>
					</practitioner>
				</author>
			</reaction>
			<verifier>
				<comment>Verifier Comment</comment>
				<time>
					<literal>20100416144651</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_VERIFIERID_2002</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</practitioner>
			</verifier>
			<author>
				<comment>Author Comment</comment>
				<time>
					<literal>20100416144651</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_AUTHORID_1001</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</practitioner>
			</author>
			<errorEnterer>
				<comment>ErrorEnterer Comment</comment>
				<time>
					<literal>20100416144651</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_ERRORENTERERID_5005</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</practitioner>
			</errorEnterer>
			<idBandMarker>
				<comment>ID Band Marker 1 Comment</comment>
				<time>
					<literal>20100416144651</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_IDBANDUPDATERID_3003</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</practitioner>
			</idBandMarker>
			<idBandMarker>
				<comment>ID Band Marker 2 Comment</comment>
				<time>
					<literal>20100416144651</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_IDBANDUPDATERID_3005</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</practitioner>
			</idBandMarker>
			<chartMarker>
				<comment>Chart Marker 1 Comment</comment>
				<time>
					<literal>20100416144651</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_CHARTMARKERID_4002</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</practitioner>
			</chartMarker>
			<chartMarker>
				<comment>Chart Marker 2 Comment</comment>
				<time>
					<literal>20100416144651</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>test_CHARTMARKERID_4003</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</practitioner>
			</chartMarker>
			<commentEvents>
				<date>
					<literal>20100416144651</literal>
				</date>
				<author>
					<identifier>
						<identity>test_AUTHORID_1003</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</author>
				<commentType>
					<code>aCommentType</code>
					<displayText>commentEventDisplayTextLite</displayText>
					<codingSystem>commentEventCodingSystemLite</codingSystem>
				</commentType>
				<comments>theFirstComment</comments>
				<comments>theSecondComment</comments>
			</commentEvents>
			<commentEvents>
				<date>
					<literal>20100416144651</literal>
				</date>
				<author>
					<identifier>
						<identity>test_AUTHORID_1003</identity>
						<assigningFacility>DefaultAssigningFacility</assigningFacility>
						<assigningAuthority>USVHA</assigningAuthority>
					</identifier>
					<idSourceTable>IdSourceTable</idSourceTable>
					<name>
						<prefix>Prefix</prefix>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
						<title>Title</title>
					</name>
				</author>
				<commentType>
					<code>aCommentType</code>
					<displayText>commentEventDisplayTextLite</displayText>
					<codingSystem>commentEventCodingSystemLite</codingSystem>
				</commentType>
				<comments>theFirstComment</comments>
				<comments>theSecondComment</comments>
			</commentEvents>
			<drugClass>
				<code>
					<code>Class2</code>
					<displayText>Drug Class 1DisplayText</displayText>
					<codingSystem>Drug Class 1CodingSystem</codingSystem>
					<alternateCode>Drug Class 1test_altcode_3001</alternateCode>
					<alternateDisplayText>Drug Class 1AltDisplayTextLite</alternateDisplayText>
					<alternateCodingSystem>Drug Class 1AltCodingSystem</alternateCodingSystem>
				</code>
			</drugClass>
			<drugClass>
				<code>
					<code>Class4</code>
					<displayText>Drug Class 2DisplayText</displayText>
					<codingSystem>Drug Class 2CodingSystem</codingSystem>
					<alternateCode>Drug Class 2test_altcode_3005</alternateCode>
					<alternateDisplayText>Drug Class 2AltDisplayTextLite</alternateDisplayText>
					<alternateCodingSystem>Drug Class 2AltCodingSystem</alternateCodingSystem>
				</code>
			</drugClass>
			<drugIngredient>
				<code>
					<code>Ingredient2</code>
					<displayText>Drug Ing. 1DisplayTextLite</displayText>
					<codingSystem>Drug Ing. 1CodingSystemLite</codingSystem>
				</code>
			</drugIngredient>
			<drugIngredient>
				<code>
					<code>Ingredient6</code>
					<displayText>Drug Ing. 2DisplayTextLite</displayText>
					<codingSystem>Drug Ing. 2CodingSystemLite</codingSystem>
				</code>
			</drugIngredient>
			<facilityIdentifier>
				<identity>OrganizationId</identity>
				<name>OrganizationName</name>
				<assigningAuthority>AssigningAuthNamespaceId</assigningAuthority>
			</facilityIdentifier>
			<recordSource>
				<namespaceId>DefaultAssigningFacility</namespaceId>
				<universalId>1271450811722100000</universalId>
				<universalIdType>aUniversalIdType</universalIdType>
			</recordSource>
			<recordVersion>10000</recordVersion>
			<recordUpdateTime>
				<literal>20100416144651</literal>
			</recordUpdateTime>
		</intoleranceConditions>
	</patient>
</clinicaldata:ClinicalData>
