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<Message xmlns="urn:hl7-org:v3" xmlns:dt="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
	<id root="2.24.750.2.937172.4433" extension="CTRL-9876"/>
	<creation_time value="2005-02-15T09:30:00-05:00"/>
	<version_id>3.0</version_id>
	<interaction_id root="2.24.750.2.937172" extension="POLB_IN004410"/>
	<processing_cd code="P"/>
	<accept_ack_cd code="ER"/>
	<executedByRespondToOrg>
		<type_cd code="RSP"/>
		<telecom use="WP" url="555-555-5555"/>
		<servedBy>
			<nm xsi:type="dt:PN">
				<family>Honeywell</family>
				<given>Carson</given>
				<suffix qualifier="AC">MD</suffix>
			</nm>
			<telecom use="WP" url="555-555-5555"/>
		</servedBy>
	</executedByRespondToOrg>
	<executedBySendApp>
		<type_cd code="SND"/>
		<telecom value="127.127.127.255"/>
		<servedBy>
			<nm use="L"/>
			<telecom value="555-555-2005" use="H"/>
			<id root="2.24.750.2.937172.4433" extension="DDTEK LAB"/>
			<agencyFor>
				<representedOrganization>
					<id nullFlavor="OTH"/>
					<nm xsi:type="dt:TN">DDTEK LAB</nm>
				</representedOrganization>
			</agencyFor>
			<presence>
				<location>
					<id root="2.24.750.2.937172.4433" extension="ELAB-1"/>
				</location>
			</presence>
		</servedBy>
	</executedBySendApp>
	<executedByRcvApp>
		<type_cd code="RCV"/>
		<telecom value="127.127.127.0"/>
		<servedBy>
			<nm use="L"/>
			<telecom use="H" value="555-555-2005"/>
			<id root="2.24.750.2.937172.4433" extension="DDTEK OE"/>
			<agencyFor>
				<representedOrganization>
					<id root="2.24.750.2.937172.19.3.1001"/>
					<nm xsi:type="TN">DDTEK Outpatient Clinic</nm>
				</representedOrganization>
			</agencyFor>
			<presence>
				<location>
					<id root="2.24.750.2.937172.4433" extension="BLDG14"/>
					<nm xsi:type="TN">DDTEK Outpatient Clinic</nm>
				</location>
			</presence>
		</servedBy>
	</executedByRcvApp>
	<has_payload_ControlActEvent xsi:type="MCAI_HD700200">
		<response_cd code="N"/>
		<verifier>
			<participant_COCT_MT090100>
				<id root="2.24.750.2.937172.4433" extension="030-33-3333"/>
			</participant_COCT_MT090100>
		</verifier>
		<interactionTarget xsi:type="POLB_MT004101">
			<ObservationEvent>
				<id root="2.24.750.2.937172.4433" extension="917363" assigningAuthorityName="DDTEK LAB"/>
				<cd code="1554-5" codeSystemName="LN" displayName="GLUCOSE POST 12H CFST:MCNC:PT:SER/PLAS:QN"/>
				<status_cd code="completed"/>
				<effective_time>
					<center value="2005-02-15T07:30:00-05:00"/>
				</effective_time>
				<activity_time>
					<center value=""/>
				</activity_time>
				<priority_cd code="R"/>
				<value xsi:type="dt:PQ" value="175" unit="mg/dl"/>
				<interpretation_cd code="H"/>
				<participant>
					<type_cd code="AUT"/>
					<mode_cd code="WRITTEN"/>
					<signature_cd code="S"/>
					<assignedEntity>
						<id root="2.24.750.2.937172.4433" extension="030-33-3333"/>
						<assignee_Person>
							<nm xsi:type="dt:PN" use="L">
								<family>Honeywell</family>
								<given>Carson</given>
								<suffix qualifier="AC">MD</suffix>
							</nm>
						</assignee_Person>
					</assignedEntity>
				</participant>
				<patient>
					<patient>
						<id root="2.24.750.2.937172.4433" extension="375913"/>
						<patient_Person>
							<id root="2.24.750.2.937172.4433" extension="010-11-1111" assigningAuthorityName="LA" validTime="2007-05-20"/>
							<nm xsi:type="dt:PN" use="L">
								<family/>
								<given>Eva</given>
								<given>E</given>
							</nm>
						</patient_Person>
					</patient>
				</patient>
				<inFulfillmentOf>
					<priorObservationOrder>
						<id root="2.24.750.2.937172.4433" extension="948642" assigningAuthorityName="DDTEK OE"/>
						<cd code="1554-5" codeSystemName="LN" displayName="Serum Glucose"/>
						<participant>
							<assignedEntity>
								<id root="2.24.750.2.937172.4433" extension="020-22-2222"/>
								<assignee_Person>
									<nm xsi:type="dt:PN" use="L">
										<family>Levin-Epstein</family>
										<given>Anna</given>
										<suffix qualifier="AC">MD</suffix>
									</nm>
								</assignee_Person>
							</assignedEntity>
						</participant>
					</priorObservationOrder>
				</inFulfillmentOf>
				<referenceRange>
					<referenceObservationEventCriterion>
						<value xsi:type="dt:IVL_PQ">
							<low value="70" unit="mg/dl"/>
							<high value="105" unit="mg/dl"/>
						</value>
					</referenceObservationEventCriterion>
				</referenceRange>
			</ObservationEvent>
		</interactionTarget>
	</has_payload_ControlActEvent>
</Message>