<?xml version="1.0" encoding="UTF-8"?>
<clinicaldata:ClinicalData xmlns:clinicaldata="Clinicaldata" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:fn="http://www.w3.org/2005/xpath-functions" xmlns:b="urn:hl7-org:v2xml">
	<templateId>AllergyAssessmentCreateOrUpdate400xx</templateId>
	<patient>
		<allergyAssessments>
			<recordIdentifier>
				<identity>123456</identity>
				<namespaceId>CANNS</namespaceId>
			</recordIdentifier>
			<patient>
				<identifier>
					<identity>99999</identity>
					<assigningFacility>ttt</assigningFacility>
					<assigningAuthority>USVHA</assigningAuthority>
				</identifier>
				<name>
					<given>ONE</given>
					<middle>FIRST NM</middle>
					<family>PATIENT</family>
					<suffix/>
				</name>
			</patient>
			<observationTime>
				<literal>20010328134602-0600</literal>
			</observationTime>
			<assessmentValue>
				<code>4500630</code>
				<displayText>No Known Allergies</displayText>
				<codingSystem>99VA8985.1</codingSystem>
			</assessmentValue>
			<status>F</status>
			<author>
				<practitioner>
					<identifier>
						<identity/>
						<assigningFacility/>
					</identifier>
					<idSourceTable/>
					<name>
						<prefix/>
						<given>TWO</given>
						<middle>M</middle>
						<family>PROVIDER</family>
						<suffix/>
						<title/>
					</name>
				</practitioner>
			</author>
			<recordVersion>0</recordVersion>
			<recordUpdateTime>
				<literal>20020921133629-0500</literal>
			</recordUpdateTime>
		</allergyAssessments>
	</patient>
</clinicaldata:ClinicalData>
