<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:act="Act" xmlns:b="urn:hl7-org:v2xml"
	xmlns:clinicaldata="Clinicaldata" xmlns:common="Common"
	xmlns:entity="Entity" xmlns:exposure="Exposure"
	xmlns:fn="http://www.w3.org/2005/xpath-functions"
	xmlns:participation="Participation" xmlns:person="Person"
	xmlns:vhimdatatypes="VHIMDatatypes" xmlns:vitalsigns="VitalSigns"
	xmlns:xs="http://www.w3.org/2001/XMLSchema"
	xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
	<templateId>PharmacyCreateOrUpdate40060</templateId>
	<patient>
		<requestedNationalId>1000000989</requestedNationalId>
		<outpatientMedicationPromises>
			<recordIdentifier>
				<identity>9213888</identity>
				<namespaceId>660_52_.001</namespaceId>
			</recordIdentifier>
			<prescriptionId>10885768</prescriptionId>
			<pharmacyPatientType>ONSC</pharmacyPatientType>
			<dataEnterer>
				<time>
					<literal>20040729153533-0400</literal>
				</time>
				<practitioner>
					<identifier>
						<identity>103106</identity>
						<assigningFacility />
					</identifier>
					<idSourceTable>VistA200</idSourceTable>
					<name>
						<prefix></prefix>
						<given>ROBERT</given>
						<middle>A</middle>
						<family>DAVIS</family>
						<suffix></suffix>
						<title></title>
					</name>
				</practitioner>
			</dataEnterer>
			<pharmacyRequest>
				<orderedMedication>
					<cmopDrugCode>
						<code>R0022</code>
						<displayText></displayText>
						<codingSystem>660_50_27</codingSystem>
					</cmopDrugCode>
					<medicationCode>
						<code>4012170</code>
						<displayText>RISPERIDONE 1MG TAB</displayText>
						<codingSystem>99VA_52_6</codingSystem>
						<alternateCode>7233</alternateCode>
						<alternateDisplayText>RISPERIDONE 1MG TAB	</alternateDisplayText>
						<alternateCodingSystem>660_50_.01</alternateCodingSystem>
					</medicationCode>
				</orderedMedication>
				<genericRequestIdentifier>
					<identity>26659424</identity>
					<namespaceId>660_52_39.3</namespaceId>
				</genericRequestIdentifier>
				<orderLocationIdentifier>
					<pointOfCare>W OPPC/KAMBLE</pointOfCare>
					<room>5911</room>
					<bed />
					<facilityNamespaceId />
					<facilityUniversalId />
					<facilityUniversalIdType />
					<personLocationType />
					<locationDescription />
				</orderLocationIdentifier>
				<orderedItem>
					<itemCode>
						<code>1417</code>
						<displayText>RISPERIDONE</displayText>
						<codingSystem>660_52_39.2</codingSystem>
					</itemCode>
					<dosageFormCode>
						<code>63</code>
						<displayText>TAB</displayText>
						<codingSystem>660_50.7_.02</codingSystem>
					</dosageFormCode>
				</orderedItem>
				<orderingInstitutionIdentifier>
					<name>CLE13 TEST LAB</name>
				</orderingInstitutionIdentifier>
				<orderDate>
					<literal>20040729</literal>
				</orderDate>
				<status>CM</status>
				<statusModifier>
					<code>4500725</code>
					<displayText>EXPIRED</displayText>
					<codingSystem>99VA_52_100</codingSystem>
				</statusModifier>
			</pharmacyRequest>
			<patient>
				<identifier>
					<identity>888888</identity>
					<assigningFacility>660</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
				<name>
					<given>DQXU</given>
					<middle></middle>
					<family>RXKDYTXY</family>
					<suffix>KGW</suffix>
				</name>
			</patient>
			<expirationDate>
				<literal>20050730</literal>
			</expirationDate>
			<lastDispenseDate>
				<literal>20041102</literal>
			</lastDispenseDate>
			<numberOfRefillsAuthorized>2</numberOfRefillsAuthorized>
			<patientInstructions>
				IF by August 19th still feel same, then take 3 tablets
				in am and 3 tablets in pm.
			</patientInstructions>
			<expandedPatientInstructions>
				IF by August 19th still feel same, then take 3 tablets
				in am and 3 tablets in pm.
			</expandedPatientInstructions>
			<sig>
				TAKE ONE TABLET BY MOUTH TWICE A DAY FOR 2 DAYS, THEN
				TAKE TWO TABLETS TWICE A DAY IF BY AUGUST 19TH STILL
				FEEL SAME, THEN TAKE 3 TABLETS IN AM AND 3 TABLETS IN
				PM.
			</sig>
			<copayTransactionType>
				<code>1</code>
				<displayText>PSO NSC RX COPAY NEW</displayText>
				<codingSystem>660_52_105</codingSystem>
			</copayTransactionType>
			<originalDispense>
				<comments>CPRS Order #26659424 Edited.</comments>
				<dispenseDate>
					<literal>20040731</literal>
				</dispenseDate>
				<fillDate>
					<literal>20040731</literal>
				</fillDate>
				<quantityDispensed>
					<value>140</value>
				</quantityDispensed>
				<currentProvider>
						<identifier>
							<identity>115616</identity>
						</identifier>
						<idSourceTable>RE</idSourceTable>
						<name>
							<prefix></prefix>
							<given>NITIN</given>
							<middle></middle>
							<family>KAMBLE</family>
							<suffix></suffix>
							<title>DO</title>
						</name>
				</currentProvider>
				<currentProviderComments>Updated some fields with new data for testing HDR2.</currentProviderComments>
				<loginDate>
					<literal>20040729153533-0400</literal>
				</loginDate>
				<daysSupply>D30</daysSupply>
				<identifier>
					<identity>9213888</identity>
					<namespaceId>660_52_.001</namespaceId>
				</identifier>
				<mailWindow>WINDOW</mailWindow>
				<releaseDate>
					<literal>20040805082557-0400</literal>
				</releaseDate>
				<wasPatientCounseled>
					<code>4500630</code>
					<displayText>NO</displayText>
					<codingSystem>99VA_52_41</codingSystem>
				</wasPatientCounseled>
				<division>
					<divisionId>
						<code>541</code>
						<displayText>WADE PARK</displayText>
						<codingSystem>660_52_20</codingSystem>
					</divisionId>
					<ncpdpId>
						<code>3660671</code>
						<displayText>WADE PARK</displayText>
						<codingSystem>NCPDP</codingSystem>
					</ncpdpId>
				</division>
				<dispensedDrug>
					<drugUnitPrice>
						<value>1.653</value>
					</drugUnitPrice>
					<expirationDate>
						<literal>20050730</literal>
					</expirationDate>
					<ndc>
						<code>50458-0300-06</code>
						<displayText></displayText>
						<codingSystem>NDC</codingSystem>
					</ndc>
				</dispensedDrug>
				<pharmacist>
					<practitioner>
						<identifier>
							<identity>8902</identity>
							<assigningFacility />
						</identifier>
						<idSourceTable>PHARMACIST</idSourceTable>
						<name>
							<prefix></prefix>
							<given>CATHRINE</given>
							<middle>A</middle>
							<family>ENGLAND</family>
							<suffix></suffix>
							<title></title>
						</name>
					</practitioner>
				</pharmacist>
				<cmopEventStatus>
					<code></code>
					<displayText></displayText>
					<codingSystem></codingSystem>
				</cmopEventStatus>
			</originalDispense>
			<refillDispense>
				<dispenseDate>
					<literal>20041102</literal>
				</dispenseDate>
				<fillDate>
					<literal>20041102</literal>
				</fillDate>
				<quantityDispensed>
					<value>140</value>
				</quantityDispensed>
				<currentProvider>
					<practitioner>
						<identifier>
							<identity>115616</identity>
							<assigningFacility />
						</identifier>
						<idSourceTable>VistA200</idSourceTable>
						<name>
							<prefix></prefix>
							<given>NITIN</given>
							<middle></middle>
							<family>KAMBLE</family>
							<suffix></suffix>
							<title>DO</title>
						</name>
					</practitioner>
				</currentProvider>
				<loginDate>
					<literal>20041102</literal>
				</loginDate>
				<daysSupply>D30</daysSupply>
				<identifier>
					<identity>2</identity>
					<namespaceId></namespaceId>
				</identifier>
				<mailWindow>WINDOW</mailWindow>
				<releaseDate>
					<literal>20041102150803-0400</literal>
				</releaseDate>
				<division>
					<divisionId>
						<code>541</code>
						<displayText>WADE PARK</displayText>
						<codingSystem>660_52.1_8</codingSystem>
					</divisionId>
					<ncpdpId>
						<code>3660671</code>
						<displayText>WADE PARK</displayText>
						<codingSystem>NCPDP</codingSystem>
					</ncpdpId>
				</division>
				<dispensedDrug>
					<drugUnitPrice>
						<value>1.653</value>
					</drugUnitPrice>
					<expirationDate>
						<literal></literal>
					</expirationDate>
					<ndc>
						<code>50458-0300-06</code>
						<displayText></displayText>
						<codingSystem>NDC</codingSystem>
					</ndc>
				</dispensedDrug>
				<cmopEventStatus>
					<code></code>
					<displayText></displayText>
					<codingSystem></codingSystem>
				</cmopEventStatus>
			</refillDispense>
			<partialDispense>
				<dispenseDate>
					<literal>20040803</literal>
				</dispenseDate>
				<fillDate>
					<literal>20040803</literal>
				</fillDate>
				<quantityDispensed>
					<value>140</value>
				</quantityDispensed>
				<currentProvider>
						<identifier>
							<identity>115616</identity>
							<assigningFacility />
						</identifier>
						<idSourceTable>VistA200</idSourceTable>
						<name>
							<prefix></prefix>
							<given>NITIN</given>
							<middle></middle>
							<family>KAMBLE</family>
							<suffix></suffix>
							<title>DO</title>
						</name>
				</currentProvider>
				<loginDate>
					<literal>20040802</literal>
				</loginDate>
				<daysSupply>D30</daysSupply>
				<identifier>
					<identity>1</identity>
					<namespaceId></namespaceId>
				</identifier>
				<mailWindow>WINDOW</mailWindow>
				<releaseDate>
					<literal>20040803105719-0400</literal>
				</releaseDate>
				<division>
					<divisionId>
						<code>541AO</code>
						<displayText>BRECKSVILLE</displayText>
						<codingSystem>660_52.1_8</codingSystem>
					</divisionId>
					<ncpdpId>
						<code>3660671</code>
						<displayText>BRECKSVILLE</displayText>
						<codingSystem>NCPDP</codingSystem>
					</ncpdpId>
				</division>
				<dispensedDrug>
					<drugUnitPrice>
						<value>1.653</value>
					</drugUnitPrice>
					<expirationDate>
						<literal></literal>
					</expirationDate>
					<ndc>
						<code>50458-0300-06</code>
						<displayText></displayText>
						<codingSystem>NDC</codingSystem>
					</ndc>
				</dispensedDrug>
				<pharmacist>
					<practitioner>
						<identifier>
							<identity>.5</identity>
							<assigningFacility />
						</identifier>
						<idSourceTable>PHARMACIST</idSourceTable>
						<name>
							<prefix></prefix>
							<given></given>
							<middle></middle>
							<family>POSTMASTER</family>
							<suffix></suffix>
							<title></title>
						</name>
					</practitioner>
				</pharmacist>
				<cmopEventStatus>
					<code></code>
					<displayText></displayText>
					<codingSystem></codingSystem>
				</cmopEventStatus>
			</partialDispense>
			<partialDispense>
				<comments>UNTIL MAILED</comments>
				<dispenseDate>
					<literal></literal>
				</dispenseDate>
				<fillDate>
					<literal>20040802</literal>
				</fillDate>
				<quantityDispensed>
					<value>20</value>
				</quantityDispensed>
				<currentProvider>
						<identifier>
							<identity>115616</identity>
							<assigningFacility />
						</identifier>
						<idSourceTable>VistA200</idSourceTable>
						<name>
							<prefix></prefix>
							<given>NITIN</given>
							<middle></middle>
							<family>KAMBLE</family>
							<suffix></suffix>
							<title>DO</title>
						</name>
				</currentProvider>
				<loginDate>
					<literal>200408020851-0400</literal>
				</loginDate>
				<daysSupply>D7</daysSupply>
				<identifier>
					<identity>1</identity>
					<namespaceId></namespaceId>
				</identifier>
				<mailWindow>WINDOW</mailWindow>
				<releaseDate>
					<literal>20040802091513-0400</literal>
				</releaseDate>
				<division>
					<divisionId>
						<code>541AO</code>
						<displayText>BRECKSVILLE</displayText>
						<codingSystem>660_52.2_.09</codingSystem>
					</divisionId>
					<ncpdpId>
						<code>3660671</code>
						<displayText>BRECKSVILLE</displayText>
						<codingSystem>NCPDP</codingSystem>
					</ncpdpId>
				</division>
				<dispensedDrug>
					<drugUnitPrice>
						<value>1.653</value>
					</drugUnitPrice>
					<expirationDate>
						<literal></literal>
					</expirationDate>
					<ndc>
						<code>50458-0300-06</code>
						<displayText></displayText>
						<codingSystem>NDC</codingSystem>
					</ndc>
				</dispensedDrug>
				<pharmacist>
					<practitioner>
						<identifier>
							<identity>104610</identity>
							<assigningFacility />
						</identifier>
						<idSourceTable>PHARMACIST</idSourceTable>
						<name>
							<prefix></prefix>
							<given>JO</given>
							<middle>ANNE</middle>
							<family>NALLY</family>
							<suffix></suffix>
							<title></title>
						</name>
					</practitioner>
				</pharmacist>
				<cmopEventStatus>
					<code></code>
					<displayText></displayText>
					<codingSystem></codingSystem>
				</cmopEventStatus>
			</partialDispense>
			<cancel>
				<cancelDate>
					<literal>20040729</literal>
				</cancelDate>
				<comments>This is a deletion comment Joey.</comments>
			</cancel>
			<medicationInstructions>
				<conjunction>
					<code></code>
					<displayText>THEN</displayText>
					<codingSystem>660_52.0113_5</codingSystem>
				</conjunction>
				<dispenseUnitsPerDose>1</dispenseUnitsPerDose>
				<dosageOrdered>1MG</dosageOrdered>
				<noun>
					<code></code>
					<displayText>TABLET</displayText>
					<codingSystem>660_52.0113_3</codingSystem>
				</noun>
				<route>
					<code>1</code>
					<displayText>ORAL</displayText>
					<codingSystem>660_52.0113_6</codingSystem>
				</route>
				<schedule>
					<code></code>
					<displayText>BID</displayText>
					<codingSystem>660_52.0113_7</codingSystem>
				</schedule>
				<verb>
					<code></code>
					<displayText>TAKE</displayText>
					<codingSystem>660_52.0113_8</codingSystem>
				</verb>
				<giveUnits>
					<code>20</code>
					<displayText>MG</displayText>
					<codingSystem>660_52_6</codingSystem>
				</giveUnits>
				<intendedDuration>2D</intendedDuration>
			</medicationInstructions>
			<medicationInstructions>
				<conjunction>
					<code></code>
					<displayText></displayText>
					<codingSystem></codingSystem>
				</conjunction>
				<dispenseUnitsPerDose>2</dispenseUnitsPerDose>
				<dosageOrdered>2MG</dosageOrdered>
				<noun>
					<code></code>
					<displayText>TABLETS</displayText>
					<codingSystem>660_52.0113_3</codingSystem>
				</noun>
				<route>
					<code>1</code>
					<displayText>ORAL</displayText>
					<codingSystem>660_52.0113_6</codingSystem>
				</route>
				<schedule>
					<code></code>
					<displayText>BID</displayText>
					<codingSystem>660_52.0113_7</codingSystem>
				</schedule>
				<verb>
					<code></code>
					<displayText>TAKE</displayText>
					<codingSystem>660_52.0113_8</codingSystem>
				</verb>
				<giveUnits>
					<code>20</code>
					<displayText>MG</displayText>
					<codingSystem>660_52_6</codingSystem>
				</giveUnits>
				<intendedDuration></intendedDuration>
			</medicationInstructions>
			<finisher>
				<practitioner>
					<identifier>
						<identity>103106</identity>
						<assigningFacility />
					</identifier>
					<idSourceTable>660_52_38</idSourceTable>
					<name>
						<prefix></prefix>
						<given>ROBERT</given>
						<middle>A</middle>
						<family>DAVIS</family>
						<suffix></suffix>
						<title></title>
					</name>
				</practitioner>
			</finisher>
			<recordVersion>0</recordVersion>
			<recordUpdateTime>
				<literal>20080131122147-0400</literal>
			</recordUpdateTime>
		</outpatientMedicationPromises>
	</patient>
	<errorSection>
		<errors>
			<errorId>error-1</errorId>
			<exception>read</exception>
			<exceptionMessage>read problems</exceptionMessage>
			<errorCode>exception9</errorCode>
			<displayMessage>things aren't going so well</displayMessage>
		</errors>
		<errors>
			<errorId>error2</errorId>
			<exception>sql</exception>
			<exceptionMessage>oops</exceptionMessage>
			<errorCode>exception7</errorCode>
			<displayMessage>Give it up</displayMessage>
		</errors>
		<fatalErrors>
			<errorId>fatal1</errorId>
			<exception>fatalex</exception>
			<exceptionMessage>fatal 1 message</exceptionMessage>
			<errorCode>fatalcode</errorCode>
			<displayMessage>This is the END</displayMessage>
		</fatalErrors>
		<warnings>
			<errorId>warning 1</errorId>
			<exception>warning</exception>
			<exceptionMessage>you better watch out</exceptionMessage>
			<errorCode>wrncode</errorCode>
			<displayMessage>You're asking for it</displayMessage>
		</warnings>
		<warnings>
			<errorId>warning 2</errorId>
			<exception>warn</exception>
			<exceptionMessage>really, stop it</exceptionMessage>
			<errorCode>warncode</errorCode>
			<displayMessage>Ok, that's it - we aren't going to tell you again</displayMessage>
		</warnings>
	</errorSection>
</clinicaldata:ClinicalData>