<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata">
	<templateId>VWPharmacyRead40010</templateId>
	<requestId>707916F6-3F1F-8062-67CC-50F34E282474</requestId>
	<patient>
		<requestedResolvedIdentifiers>
			<identity>dev5_00000</identity>
			<assigningFacility>DefaultAssigningFacility</assigningFacility>
			<assigningAuthority>USVHA</assigningAuthority>
		</requestedResolvedIdentifiers>
		<resultantIdentifiers>
			<identity>dev5_00000</identity>
			<assigningFacility>DefaultAssigningFacility</assigningFacility>
			<assigningAuthority>USVHA</assigningAuthority>
		</resultantIdentifiers>
		<outpatientMedicationPromises>
			<recordIdentifier>
				<identity>ID_131209142737110000</identity>
				<namespaceId>DefaultAssigningFacility</namespaceId>
				<universalId>UID_131209142737110000</universalId>
				<universalIdType>universalIdType</universalIdType>
			</recordIdentifier>
			<prescriptionId>PrescriptionId</prescriptionId>
			<pharmacyRequest>
				<orderedMedication>
					<medicationCode>
						<displayText> Med Alt CodeDisplayTextLite</displayText>
					</medicationCode>
				</orderedMedication>
				<orderDate>
					<literal>20110730235027</literal>
				</orderDate>
				<statusModifier>
					<displayText>StatusModifierDisplayTextLite</displayText>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>dev5_00000</identity>
					<assigningFacility>DefaultAssigningFacility</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
				<name>
					<given>Given</given>
					<middle>MiddleName</middle>
					<family>FamilyName</family>
					<suffix>Suffix</suffix>
				</name>
			</patient>
			<expirationDate>
				<literal>20110730235027</literal>
			</expirationDate>
			<lastDispenseDate>
				<literal>20110730235027</literal>
			</lastDispenseDate>
			<numberOfRefillsAuthorized>2</numberOfRefillsAuthorized>
			<sig>Sig-0</sig>
			<sig>Sig-1</sig>
			<originalDispense>
				<quantityDispensed>
					<value>1.0</value>
				</quantityDispensed>
				<currentProvider>
					<name>
						<given>Given</given>
						<middle>MiddleName</middle>
						<family>FamilyName</family>
						<suffix>Suffix</suffix>
					</name>
				</currentProvider>
				<division>
					<divisionId>
						<code>test_code_2002</code>
						<displayText>DivisionIdDisplayTextLite</displayText>
					</divisionId>
				</division>
				<dispensedDrug>
					<drugUnitPrice>
						<value>0.0</value>
					</drugUnitPrice>
					<ndc>
						<code>test_code_2005</code>
					</ndc>
				</dispensedDrug>
				<numberOfRefillsRemaining>13</numberOfRefillsRemaining>
			</originalDispense>
			<refillDispense>
				<dispensedDrug />
				<numberOfRefillsRemaining>13</numberOfRefillsRemaining>
			</refillDispense>
			<refillDispense>
				<dispensedDrug />
				<numberOfRefillsRemaining>13</numberOfRefillsRemaining>
			</refillDispense>
			<partialDispense>
				<numberOfRefillsRemaining>13</numberOfRefillsRemaining>
			</partialDispense>
			<partialDispense>
				<numberOfRefillsRemaining>13</numberOfRefillsRemaining>
			</partialDispense>
			<cancel>
				<cancelDate>
					<literal>20110730235027</literal>
				</cancelDate>
			</cancel>
			<recordSource>
				<namespaceId>DefaultAssigningFacility</namespaceId>
				<universalId>1312091427384100000</universalId>
				<universalIdType>universalIdType</universalIdType>
			</recordSource>
			<recordVersion>10000</recordVersion>
			<recordUpdateTime>
				<literal>20110730235027</literal>
			</recordUpdateTime>
		</outpatientMedicationPromises>
	</patient>
</clinicaldata:ClinicalData>