<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>RDIIntoleranceConditionPharmacyRead40010</templateId>
	<requestId>RDI-0000000099</requestId>
	<patient>
		<requestedNationalId>1011186582</requestedNationalId>
		<requestedExcludedIdentifiers>
			<assigningFacility>993</assigningFacility>
			<assigningAuthority>USVHA</assigningAuthority>
		</requestedExcludedIdentifiers>
		<resultantIdentifiers>
			<identity>152832</identity>
			<assigningFacility>552</assigningFacility>
			<assigningAuthority>USVHA</assigningAuthority>
		</resultantIdentifiers>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4637453</code>
				<displayText>GOAT CHEESE</displayText>
				<codingSystem>99VA120.82</codingSystem>
			</gmrAllergyAgent>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4020996</code>
				<displayText>OLANZAPINE</displayText>
				<codingSystem>99VA50.6</codingSystem>
			</gmrAllergyAgent>
			<drugClass>
				<code>
					<code>4021873</code>
					<displayText>ANTIPSYCHOTICS,OTHER</displayText>
					<codingSystem>99VA50.605</codingSystem>
					<alternateCode>CN709</alternateCode>
					<alternateCodingSystem>552_50.605</alternateCodingSystem>
				</code>
			</drugClass>
			<drugIngredient>
				<code>
					<code>4020996</code>
					<displayText>OLANZAPINE</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4021367</code>
				<displayText>ARIPIPRAZOLE</displayText>
				<codingSystem>99VA50.6</codingSystem>
			</gmrAllergyAgent>
			<drugClass>
				<code>
					<code>4021873</code>
					<displayText>ANTIPSYCHOTICS,OTHER</displayText>
					<codingSystem>99VA50.605</codingSystem>
					<alternateCode>CN709</alternateCode>
					<alternateCodingSystem>552_50.605</alternateCodingSystem>
				</code>
			</drugClass>
			<drugIngredient>
				<code>
					<code>4021367</code>
					<displayText>ARIPIPRAZOLE</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4020840</code>
				<displayText>RISPERIDONE</displayText>
				<codingSystem>99VA50.6</codingSystem>
			</gmrAllergyAgent>
			<drugClass>
				<code>
					<code>4021873</code>
					<displayText>ANTIPSYCHOTICS,OTHER</displayText>
					<codingSystem>99VA50.605</codingSystem>
					<alternateCode>CN709</alternateCode>
					<alternateCodingSystem>552_50.605</alternateCodingSystem>
				</code>
			</drugClass>
			<drugIngredient>
				<code>
					<code>4020840</code>
					<displayText>RISPERIDONE</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4636632</code>
				<displayText>DUST MITES</displayText>
				<codingSystem>99VA120.82</codingSystem>
			</gmrAllergyAgent>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4636981</code>
				<displayText>MILK</displayText>
				<codingSystem>99VA120.82</codingSystem>
			</gmrAllergyAgent>
			<drugIngredient>
				<code>
					<code>4019404</code>
					<displayText>MILK,NONFAT</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<drugIngredient>
				<code>
					<code>4019411</code>
					<displayText>MILK FAT</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<drugIngredient>
				<code>
					<code>4019840</code>
					<displayText>MILK</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<drugIngredient>
				<code>
					<code>4019410</code>
					<displayText>MILK,WHOLE DRY</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4636681</code>
				<displayText>CHOCOLATE</displayText>
				<codingSystem>99VA120.82</codingSystem>
			</gmrAllergyAgent>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4019907</code>
				<displayText>PROCYCLIDINE</displayText>
				<codingSystem>99VA50.6</codingSystem>
			</gmrAllergyAgent>
			<drugClass>
				<code>
					<code>4021554</code>
					<displayText>PARASYMPATHOLYTICS</displayText>
					<codingSystem>99VA50.605</codingSystem>
					<alternateCode>AU350</alternateCode>
					<alternateCodingSystem>552_50.605</alternateCodingSystem>
				</code>
			</drugClass>
			<drugIngredient>
				<code>
					<code>4019907</code>
					<displayText>PROCYCLIDINE</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4636980</code>
				<displayText>MOLD</displayText>
				<codingSystem>99VA120.82</codingSystem>
			</gmrAllergyAgent>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4021240</code>
				<displayText>LATEX</displayText>
				<codingSystem>99VA50.416</codingSystem>
			</gmrAllergyAgent>
			<drugIngredient>
				<code>
					<code>4021240</code>
					<displayText>LATEX</displayText>
					<codingSystem>99VA50.416</codingSystem>
				</code>
			</drugIngredient>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<intoleranceConditions>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<gmrAllergyAgent>
				<code>4637360</code>
				<displayText>STRAWBERRIES</displayText>
				<codingSystem>99VA120.82</codingSystem>
			</gmrAllergyAgent>
			<facilityIdentifier>
				<name>DAYTON</name>
			</facilityIdentifier>
		</intoleranceConditions>
		<outpatientMedicationPromises>
			<prescriptionId>256577</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4016371</code>
						<displayText>ARIPIPRAZOLE 15MG TAB</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>7317</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20080305</literal>
				</orderDate>
				<statusModifier>
					<code>4500725</code>
					<displayText>EXPIRED</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20080404</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>0</numberOfRefillsAuthorized>
			<sig>TAKE ONE TABLET BY MOUTH FIVE TIMES DAILY NTE^1^^THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON LINE  HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF THIS  IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE  HDR.THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON  LINE HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF  THIS IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE  HDR.THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON  LINE HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF  THIS IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE HDR.^PR~PROVIDER COMMENTS~552_52.039_.01 NTE^1^^THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON LINE  HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF THIS  IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE  HDR.THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON  LINE HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF  THIS IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE  HDR.THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON  LINE HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF  THIS IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE HDR.^PR~PROVIDER COMMENTS~552_52.039_.01 NTE^1^^THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON LINE  HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF THIS  IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE  HDR.THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON  LINE HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF  THIS IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE  HDR.THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON  LINE HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF  THIS IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE HDR.^PR~PROVIDER COMMENTS~552_52.039_.01 NTE^1^^THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON LINE  HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF THIS  IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE  HDR.THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON  LINE HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF  THIS IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE  HDR.THE VISTA BACKUP THAT WAS USED TO BRING THE COMPUTING SYSTEM BACK ON  LINE HAD BEEN COMPLETED 12 HOURS PRIOR TO VISTA GOING DOWN. THE RESULT OF  THIS IS THAT THERE ARE 12 HOURS IN WHICH DATA WAS ENTERED INTO THE VISTA  SYSTEM AND SENT TO THE HDR. THIS IS NEW DATA THAT WOULD NOT HAVE BEEN  INCLUDED IN THE BACKUP; 12 HOURS OF DATA THAT WAS ENTERED INTO VISTA AND  SENT TO THE HDR THAT IS LOST FROM VISTA AT NASHVILLE BECAUSE THE BACK UP  WAS 12 HOURS OLD. IENS USED DURING THE LOST 12 HOURS WERE REISSUED ON  DIFFERENT PATIENT RECORDS, MAKING THE FIRST RECORD INACTIVE IN THE HDR.^PR~PROVIDER COMMENTS~552_52.039_.01</sig>
			<originalDispense>
				<fillDate>
					<literal>20080305</literal>
				</fillDate>
				<quantityDispensed>
					<value>180</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D30</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>6.1797</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
		</outpatientMedicationPromises>
		<outpatientMedicationPromises>
			<prescriptionId>256560</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4009254</code>
						<displayText>BEPRIDIL HCL 200MG TAB</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>5783</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20080128</literal>
				</orderDate>
				<statusModifier>
					<code>4500659</code>
					<displayText>ACTIVE</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20090128</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>2</numberOfRefillsAuthorized>
			<sig>TAKE ONE TABLET BY MOUTH BEFORE MEALS PLEASE TAKE THIS MED AS ORDERED.... COMMENT.... THIS IS A TEH PATIENT INSTRUCTIONS FIELD OF THE PHARMACY</sig>
			<originalDispense>
				<fillDate>
					<literal>20080128</literal>
				</fillDate>
				<quantityDispensed>
					<value>90</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D30</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>1.901</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
		</outpatientMedicationPromises>
		<outpatientMedicationPromises>
			<prescriptionId>256575</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4005201</code>
						<displayText>WARFARIN NA 10MG TAB</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>3778</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20080222</literal>
				</orderDate>
				<statusModifier>
					<code>4500725</code>
					<displayText>EXPIRED</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20080323</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>0</numberOfRefillsAuthorized>
			<sig>TAKE ONE-HALF TABLET BY MOUTH BEFORE MEALS FOR 1 DAY, THEN TAKE ONE TABLET SIX TIMES A DAY AS NEEDED AND TAKE ONE-HALF TABLET BEFORE MEALS FOR 2 DAYS --TO THIN BLOOD--</sig>
			<originalDispense>
				<fillDate>
					<literal>20080222</literal>
				</fillDate>
				<quantityDispensed>
					<value>8</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>ILQDI</given>
							<family>SHDSM</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D30</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.085</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
		</outpatientMedicationPromises>
		<outpatientMedicationPromises>
			<prescriptionId>256580</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4012836</code>
						<displayText>ACARBOSE 25MG TAB</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>7268</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20080409</literal>
				</orderDate>
				<statusModifier>
					<code>4500725</code>
					<displayText>EXPIRED</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20080509</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>0</numberOfRefillsAuthorized>
			<sig>TAKE ONE TABLET BY MOUTH FIVE TIMES DAILY --TAKE WITH FOOD--</sig>
			<originalDispense>
				<fillDate>
					<literal>20080409</literal>
				</fillDate>
				<quantityDispensed>
					<value>180</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D30</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.0000</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
		</outpatientMedicationPromises>
		<outpatientMedicationPromises>
			<prescriptionId>256581</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4002478</code>
						<displayText>DOXEPIN HCL 25MG CAP</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>371</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20080409</literal>
				</orderDate>
				<statusModifier>
					<code>4500725</code>
					<displayText>EXPIRED</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20080513</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>0</numberOfRefillsAuthorized>
			<sig>TAKE 10MG CAPSULE BY MOUTH BEFORE MEALS FOR 1 DAY, THEN TAKE 20MG CAPSULES TWICE A DAY FOR 2 DAYS, AND TAKE 25MG CAPSULE BEFORE MEALS FOR 3 DAYS</sig>
			<originalDispense>
				<fillDate>
					<literal>20080409</literal>
				</fillDate>
				<quantityDispensed>
					<value>2</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D34</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.017</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
		</outpatientMedicationPromises>
		<outpatientMedicationPromises>
			<prescriptionId>256542</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4003812</code>
						<displayText>ETOPOSIDE 50MG CAP</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>5537</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20070711</literal>
				</orderDate>
				<statusModifier>
					<code>4500725</code>
					<displayText>EXPIRED</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20080711</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>1</numberOfRefillsAuthorized>
			<sig>TAKE ONE CAPSULE BY MOUTH BEFORE MEALS</sig>
			<originalDispense>
				<fillDate>
					<literal>20070711</literal>
				</fillDate>
				<quantityDispensed>
					<value>270</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D90</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>20.875</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
			<refillDispense>
				<fillDate>
					<literal>20071219</literal>
				</fillDate>
				<quantityDispensed>
					<value>270</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D90</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>20.875</value>
					</drugUnitPrice>
				</dispensedDrug>
			</refillDispense>
		</outpatientMedicationPromises>
		<outpatientMedicationPromises>
			<prescriptionId>256578</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4002720</code>
						<displayText>ACETAZOLAMIDE 250MG TAB</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>638</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20080325</literal>
				</orderDate>
				<statusModifier>
					<code>4500704</code>
					<displayText>DISCONTINUED</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20080424</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>0</numberOfRefillsAuthorized>
			<sig>TAKE ONE TABLET BY MOUTH FIVE TIMES DAILY --TAKE WITH FOOD TO DECREASE GI UPSET-- THIS IS WHERE THE PROVIDER ENTERS HER COMMENTS.</sig>
			<originalDispense>
				<fillDate>
					<literal>20080325</literal>
				</fillDate>
				<quantityDispensed>
					<value>180</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D30</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.029</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
		</outpatientMedicationPromises>
		<outpatientMedicationPromises>
			<prescriptionId>256582</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4006521</code>
						<displayText>ACYCLOVIR 200MG/5ML SUSP,ORAL</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>6946</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20080409</literal>
				</orderDate>
				<statusModifier>
					<code>4500659</code>
					<displayText>ACTIVE</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20090410</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>2</numberOfRefillsAuthorized>
			<sig>1 TEASPOONFUL MOUTH FIVE TIMES DAILY</sig>
			<originalDispense>
				<fillDate>
					<literal>20080409</literal>
				</fillDate>
				<quantityDispensed>
					<value>2</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D2</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.124</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
		</outpatientMedicationPromises>
		<outpatientMedicationPromises>
			<prescriptionId>256579</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<code>4002720</code>
						<displayText>ACETAZOLAMIDE 250MG TAB</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>638</alternateCode>
						<alternateCodingSystem>552_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<orderingInstitutionIdentifier>
					<name>DAYTON</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20080325</literal>
				</orderDate>
				<statusModifier>
					<code>4500725</code>
					<displayText>EXPIRED</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>152832</identity>
					<assigningFacility>552</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
			</patient>
			<expirationDate>
				<literal>20080424</literal>
			</expirationDate>
			<numberOfRefillsAuthorized>0</numberOfRefillsAuthorized>
			<sig>TAKE ONE TABLET BY MOUTH BEFORE BREAKFAST --TAKE WITH FOOD TO DECREASE GI UPSET--</sig>
			<originalDispense>
				<fillDate>
					<literal>20080325</literal>
				</fillDate>
				<quantityDispensed>
					<value>30</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<name>
							<given>JNYSEDL</given>
							<middle>L</middle>
							<family>MJJLUSEN</family>
						</name>
					</practitioner>
				</currentProvider>
				<daysSupply>D30</daysSupply>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.029</value>
					</drugUnitPrice>
				</dispensedDrug>
			</originalDispense>
		</outpatientMedicationPromises>
	</patient>
</clinicaldata:ClinicalData>
