7  Response Containing Non-HL7 Data

Currently, the only non-HL7 response from an NHIN PatientDataQuery is the medication dispensing history. This data is returned in NCPDP Scripts 8.1 format. Complete documentation of that format can be found at “Medication History Standards,” part of The Markle Connecting for Health Common Framework: Resources for Implementing Private and Secure Health Information Exchange.

Note that there are two <response> nodes, one for a brief HL7 response and one for the NCPDP Scripts 8.1 data. If the query had requested both LABORATORY and MEDICATIONS DISPENSED data, the HL7-style <response> node would have also contained the LABORATORY results data.

Sample Query:

<Query>
    <QBP_Z01 xmlns="urn:hl7-org:v2xml" >
        <MSH>
                        <MSH.1/>
                        <MSH.2/>
                        <MSH.3>
                                        <HD.1>Query Application Name</HD.1>
                        </MSH.3>
                        <MSH.4>
                                        <HD.1>ST ELSEWHERE HOSPITAL</HD.1>
                        </MSH.4>
                        <MSH.5>
                                        <HD.1>Target ISB</HD.1>
                        </MSH.5>
                        <MSH.6>
                                        <HD.1>Target SNO Name</HD.1>
                        </MSH.6>
                        <MSH.7>
                                        <TS.1>200506171410</TS.1>
                        </MSH.7>
                        <MSH.9>
                                        <MSG.1>QBP</MSG.1>
                                        <MSG.2>Z01</MSG.2>
                                        <MSG.3>QBP_Z01</MSG.3>
                        </MSH.9>
                        <MSH.10>123456789</MSH.10>
                        <MSH.11>
                                        <PT.1>P</PT.1>
                        </MSH.11>
                        <MSH.12>
                                        <VID.1>2.4</VID.1>
                        </MSH.12>
        </MSH>
        <QPD>
                        <QPD.1>
                                        <CE.1>Z01</CE.1>
                                        <CE.2>Observation Reporting Query</CE.2>
                                        <CE.3>NHIN Query Code</CE.3>
                        </QPD.1>
                        <QPD.2>Q123456</QPD.2>
                        <QPD.3>
                                        <CE.1>RES</CE.1>
                                        <CE.2>result</CE.2>
                                        <CE.3>0048</CE.3>
                        </QPD.3>
                        <QPD.5>
                                        <CE.1>MEDICATIONS DISPENSED</CE.1>
                                        <CE.2>Medications Dispensed</CE.2>
                                        <CE.3>NHIN_0001</CE.3>
                        </QPD.5>
                        <QPD.6>
                                        <TS.1>19980810</TS.1>
                        </QPD.6>
                        <QPD.8>LATEST</QPD.8>
        </QPD>
        <PID>
                        <PID.1></PID.1>
                        <PID.2></PID.2>
                        <PID.3></PID.3>
                        <PID.5>
                                        <XPN.1>
                                                        <FN.1>THOMPSON</FN.1>
                                        </XPN.1>
                                        <XPN.3>Q</XPN.3>
                        </PID.5>
                        <PID.5>
                                        <XPN.1>
                                                        <FN.1>AliasLastName</FN.1>
                                        </XPN.1>
                                        <XPN.2>AliasFirstName</XPN.2>
                                        <XPN.3>AliasMiddleName</XPN.3>
                        </PID.5>
                        <PID.7>
                                        <TS.1>19090630</TS.1>
                        </PID.7>
                        <PID.8>M</PID.8>
                        <PID.11>
                                        <XAD.1>
                                                        <SAD.1>28W 10TH Street</SAD.1>
                                        </XAD.1>
                                        <XAD.3>Metropolis</XAD.3>
                                        <XAD.4>IN</XAD.4>
                                        <XAD.5>98765</XAD.5>
                        </PID.11>
                        <PID.11>
                                        <XAD.1>
                                                        <SAD.1>666 Bleaker Street</SAD.1>
                                        </XAD.1>
                                        <XAD.3>QUINCY</XAD.3>
                                        <XAD.4>MA</XAD.4>
                                        <XAD.5>02171</XAD.5>
                        </PID.11>
                        <PID.19>9991112222</PID.19>
        </PID>
        <RCP>
                        <RCP.1>I</RCP.1>
                        <RCP.2><CQ.1>10</CQ.1></RCP.2>
        </RCP>
    </QBP_Z01>
</Query>

Sample Response(s):

This response assumes that the following namespace has been defined: xmlns:ns0="http://www.ncpdp.org"
 

<Response>
    <RSP_Z01 xmlns="urn:hl7-org:v2xml">
        <MSH>
                        <MSH.1/>
                        <MSH.2/>
                        <MSH.3>
                                        <HD.1>Target ISB</HD.1>
                        </MSH.3>
                        <MSH.4>
                                        <HD.1>Target SNO Name</HD.1>
                        </MSH.4>
                        <MSH.5>
                                        <HD.1>Query Application Name</HD.1>
                        </MSH.5>
                        <MSH.6>
                                        <HD.1>ST ELSEWHERE HOSPITAL</HD.1>
                        </MSH.6>
                        <MSH.7>
                                        <TS.1>20051024074506</TS.1>
                        </MSH.7>
                        <MSH.9>
                                        <MSG.1>RSP</MSG.1>
                                        <MSG.2>Z01</MSG.2>
                                        <MSG.3>RSP_Z01</MSG.3>
                        </MSH.9>
                        <MSH.10>432</MSH.10>
                        <MSH.11>
                                        <PT.1>P</PT.1>
                        </MSH.11>
                        <MSH.12>
                                        <VID.1>2.4</VID.1>
                        </MSH.12>
        </MSH>
        <MSA>
                        <MSA.1>AA</MSA.1>
                        <MSA.2>123456789</MSA.2>
        </MSA>
        <QAK/>
        <QPD>
                        <QPD.1>
                                        <CE.1>Z01</CE.1>
                                        <CE.2>Observation Reporting Query</CE.2>
                                        <CE.3>NHIN Query Code</CE.3>
                        </QPD.1>
                        <QPD.2>Q123456</QPD.2>
                        <QPD.3>
                                        <CE.1>RES</CE.1>
                                        <CE.2>result</CE.2>
                                        <CE.3>0048</CE.3>
                        </QPD.3>
                        <QPD.5>
                                        <CE.1>MEDICATIONS DISPENSED</CE.1>
                                        <CE.2>Medications Dispensed</CE.2>
                                        <CE.3>NHIN_0001</CE.3>
                        </QPD.5>
                        <QPD.6>
                                        <TS.1>19980810</TS.1>
                        </QPD.6>
                        <QPD.8>LATEST</QPD.8>
        </QPD>
    </RSP_Z01>
</Response>
<Response>
        <ns0:UIB>
                        <ns0:syntaxIdentifier>
                                        <ns0:syntaxIdentifier>UNOA</ns0:syntaxIdentifier>
                                        <ns0:syntaxVersionNumber>0</ns0:syntaxVersionNumber>
                        </ns0:syntaxIdentifier>
                        <ns0:transactionReference>
                                        <ns0:transactionControlReference>1</ns0:transactionControlReference>
                        </ns0:transactionReference>
                        <ns0:interchangeSender>
                                        <ns0:senderIdentificationLevelOne>3</ns0:senderIdentificationLevelOne>
                                        <ns0:levelOneIdentificationCodeQualifier>SID</ns0:levelOneIdentificationCodeQualifier>
                        </ns0:interchangeSender>
                        <ns0:interchangeRecipient>
                                        <ns0:recipientIdentificationLevelOne>57c42842-25e9-4b57-b93f-4e8e99bcfabc</ns0:recipientIdentificationLevelOne>
                                        <ns0:levelOneIdentificationCodeQualifier>SID</ns0:levelOneIdentificationCodeQualifier>
                                        <ns0:recipientIdentificationLevelTwo>JohnD</ns0:recipientIdentificationLevelTwo>
                                        <ns0:levelTwoIdentificationCodeQualifier>ZZZ</ns0:levelTwoIdentificationCodeQualifier>
                                        <ns0:recipientIdentificationLevelThree>HR Staff</ns0:recipientIdentificationLevelThree>
                                        <ns0:levelThreeIdentificationCodeQualifier>ROL</ns0:levelThreeIdentificationCodeQualifier>
                        </ns0:interchangeRecipient>
                        <ns0:dateTimeOfInitiation>
                                        <ns0:date>20051114</ns0:date>
                                        <ns0:eventTime>013045</ns0:eventTime>
                                        <ns0:offSet>-0700</ns0:offSet>
                        </ns0:dateTimeOfInitiation>
        </ns0:UIB>
        <ns0:UIH>
                        <ns0:messageType>Response</ns0:messageType>
                        <ns0:messageVersionNumber>008</ns0:messageVersionNumber>
                        <ns0:messageReleaseNumber>001</ns0:messageReleaseNumber>
                        <ns0:messageFunction>RxHRES</ns0:messageFunction>
                        <ns0:messageReferenceNumber>123</ns0:messageReferenceNumber>
                        <ns0:dialogueReference>
                                        <ns0:initiatorControlReference>1</ns0:initiatorControlReference>
                        </ns0:dialogueReference>
        </ns0:UIH>
        <ns0:RES>
                        <ns0:responseTypeCode>A</ns0:responseTypeCode>
        </ns0:RES>
        <ns0:PTT>
                        <ns0:birthdate>19090630</ns0:birthdate>
                        <ns0:name>
                                        <ns0:partyName>THOMSON</ns0:partyName>
                                        <ns0:firstName>MARK</ns0:firstName>
                        </ns0:name>
                        <ns0:genderCode>M</ns0:genderCode>
                        <ns0:referenceNumber>
                                        <ns0:referenceNumber>http://ceide4/CDX/CDX_MH.asmx</ns0:referenceNumber>
                                        <ns0:referenceQualifier>UR</ns0:referenceQualifier>
                        </ns0:referenceNumber>
                        <ns0:communicationNumber/>
        </ns0:PTT>
        <ns0:PVD>
                        <ns0:providerCode>PC</ns0:providerCode>
                        <ns0:referenceNumber>
                                        <ns0:referenceNumber>12343</ns0:referenceNumber>
                                        <ns0:referenceQualifier>0B</ns0:referenceQualifier>
                        </ns0:referenceNumber>
                        <ns0:communicationNumber>
                                        <ns0:communicationNumber/>
                                        <ns0:codeListQualifier>TE</ns0:codeListQualifier>
                        </ns0:communicationNumber>
                        <ns0:name>
                                        <ns0:partyName/>
                                        <ns0:firstName/>
                                        <ns0:middleName/>
                                        <ns0:nameSuffix/>
                                        <ns0:namePrefix/>
                        </ns0:name>
        </ns0:PVD>
        <ns0:DRU>
                        <ns0:drug>
                                        <ns0:itemDescriptionIdentification>D</ns0:itemDescriptionIdentification>
                                        <ns0:itemDescription>Docusate Sodium</ns0:itemDescription>
                                        <ns0:itemNumber>51079001920</ns0:itemNumber>
                                        <ns0:codeListResponsibiltyAgency>ND</ns0:codeListResponsibiltyAgency>
                                        <ns0:measurementValue>100MG CAP</ns0:measurementValue>
                                        <ns0:form>1 CAP</ns0:form>
                        </ns0:drug>
                        <ns0:quantity>
                                        <ns0:quantityQualifier>EA</ns0:quantityQualifier>
                                        <ns0:quantity>1.00</ns0:quantity>
                        </ns0:quantity>
                        <ns0:directions>
                                        <ns0:dosage>100 mg</ns0:dosage>
                        </ns0:directions>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030817200000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>07</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030815150000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>36</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030819111354-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>LD</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:productSubstitutionCode>0</ns0:productSubstitutionCode>
                        <ns0:refillQuantity>
                                        <ns0:quantityQualifier>R</ns0:quantityQualifier>
                                        <ns0:quantity>0</ns0:quantity>
                        </ns0:refillQuantity>
        </ns0:DRU>
        <ns0:DRU>
                        <ns0:drug>
                                        <ns0:itemDescriptionIdentification>D</ns0:itemDescriptionIdentification>
                                        <ns0:itemDescription>Oxycodone-Acetaminophen</ns0:itemDescription>
                                        <ns0:itemNumber>00054865024</ns0:itemNumber>
                                        <ns0:codeListResponsibiltyAgency>ND</ns0:codeListResponsibiltyAgency>
                                        <ns0:measurementValue>5mg/325mg Tab</ns0:measurementValue>
                                        <ns0:form>1-2 TAB</ns0:form>
                        </ns0:drug>
                        <ns0:quantity>
                                        <ns0:quantityQualifier/>
                                        <ns0:quantity/>
                        </ns0:quantity>
                        <ns0:directions>
                                        <ns0:dosage>1-2 TAB</ns0:dosage>
                        </ns0:directions>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030817200000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>07</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030815150000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>36</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:productSubstitutionCode>0</ns0:productSubstitutionCode>
                        <ns0:refillQuantity>
                                        <ns0:quantityQualifier>R</ns0:quantityQualifier>
                                        <ns0:quantity>0</ns0:quantity>
                        </ns0:refillQuantity>
        </ns0:DRU>
        <ns0:DRU>
                        <ns0:drug>
                                        <ns0:itemDescriptionIdentification>D</ns0:itemDescriptionIdentification>
                                        <ns0:itemDescription>Ibuprofen</ns0:itemDescription>
                                        <ns0:itemNumber>51079028220</ns0:itemNumber>
                                        <ns0:codeListResponsibiltyAgency>ND</ns0:codeListResponsibiltyAgency>
                                        <ns0:measurementValue>600MG TAB</ns0:measurementValue>
                                        <ns0:form>1 TAB</ns0:form>
                        </ns0:drug>
                        <ns0:quantity>
                                        <ns0:quantityQualifier>EA</ns0:quantityQualifier>
                                        <ns0:quantity>1.00</ns0:quantity>
                        </ns0:quantity>
                        <ns0:directions>
                                        <ns0:dosage>600 mg</ns0:dosage>
                        </ns0:directions>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030817200000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>07</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030815150000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>36</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030819051124-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>LD</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:productSubstitutionCode>0</ns0:productSubstitutionCode>
                        <ns0:refillQuantity>
                                        <ns0:quantityQualifier>R</ns0:quantityQualifier>
                                        <ns0:quantity>0</ns0:quantity>
                        </ns0:refillQuantity>
        </ns0:DRU>
        <ns0:DRU>
                        <ns0:drug>
                                        <ns0:itemDescriptionIdentification>D</ns0:itemDescriptionIdentification>
                                        <ns0:itemDescription>Codeine</ns0:itemDescription>
                                        <ns0:itemNumber>00054815624</ns0:itemNumber>
                                        <ns0:codeListResponsibiltyAgency>ND</ns0:codeListResponsibiltyAgency>
                                        <ns0:measurementValue>30mg Tab</ns0:measurementValue>
                                        <ns0:form>1-2 TAB</ns0:form>
                        </ns0:drug>
                        <ns0:quantity>
                                        <ns0:quantityQualifier/>
                                        <ns0:quantity/>
                        </ns0:quantity>
                        <ns0:directions>
                                        <ns0:dosage>30-60 mg</ns0:dosage>
                        </ns0:directions>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030817200000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>07</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030815150000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>36</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:productSubstitutionCode>0</ns0:productSubstitutionCode>
                        <ns0:refillQuantity>
                                        <ns0:quantityQualifier>R</ns0:quantityQualifier>
                                        <ns0:quantity>0</ns0:quantity>
                        </ns0:refillQuantity>
        </ns0:DRU>
        <ns0:DRU>
                        <ns0:drug>
                                        <ns0:itemDescriptionIdentification>D</ns0:itemDescriptionIdentification>
                                        <ns0:itemDescription>Acetaminophen</ns0:itemDescription>
                                        <ns0:itemNumber>51079039620</ns0:itemNumber>
                                        <ns0:codeListResponsibiltyAgency>ND</ns0:codeListResponsibiltyAgency>
                                        <ns0:measurementValue>500MG TAB</ns0:measurementValue>
                                        <ns0:form>1-2 TAB</ns0:form>
                        </ns0:drug>
                        <ns0:quantity>
                                        <ns0:quantityQualifier>EA</ns0:quantityQualifier>
                                        <ns0:quantity>2.00</ns0:quantity>
                        </ns0:quantity>
                        <ns0:directions>
                                        <ns0:dosage>500-1000 mg</ns0:dosage>
                        </ns0:directions>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030817200000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>07</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030815150000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>36</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030819162748-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>LD</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:productSubstitutionCode>0</ns0:productSubstitutionCode>
                        <ns0:refillQuantity>
                                        <ns0:quantityQualifier>R</ns0:quantityQualifier>
                                        <ns0:quantity>0</ns0:quantity>
                        </ns0:refillQuantity>
        </ns0:DRU>
        <ns0:DRU>
                        <ns0:drug>
                                        <ns0:itemDescriptionIdentification>D</ns0:itemDescriptionIdentification>
                                        <ns0:itemDescription>Bisacodyl (Rectal)</ns0:itemDescription>
                                        <ns0:itemNumber>51079055271</ns0:itemNumber>
                                        <ns0:codeListResponsibiltyAgency>ND</ns0:codeListResponsibiltyAgency>
                                        <ns0:measurementValue>10MG SUPP</ns0:measurementValue>
                                        <ns0:form>1 SUPP</ns0:form>
                        </ns0:drug>
                        <ns0:quantity>
                                        <ns0:quantityQualifier/>
                                        <ns0:quantity/>
                        </ns0:quantity>
                        <ns0:directions>
                                        <ns0:dosage>10 mg</ns0:dosage>
                        </ns0:directions>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030822200000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>07</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030815150000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>36</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:productSubstitutionCode>0</ns0:productSubstitutionCode>
                        <ns0:refillQuantity>
                                        <ns0:quantityQualifier>R</ns0:quantityQualifier>
                                        <ns0:quantity>0</ns0:quantity>
                        </ns0:refillQuantity>
        </ns0:DRU>
        <ns0:DRU>
                        <ns0:drug>
                                        <ns0:itemDescriptionIdentification>D</ns0:itemDescriptionIdentification>
                                        <ns0:itemDescription>Milk Of Magnesia</ns0:itemDescription>
                                        <ns0:itemNumber>51079036430</ns0:itemNumber>
                                        <ns0:codeListResponsibiltyAgency>ND</ns0:codeListResponsibiltyAgency>
                                        <ns0:measurementValue>30ML UDCUP</ns0:measurementValue>
                                        <ns0:form>1 UDCUP</ns0:form>
                        </ns0:drug>
                        <ns0:quantity>
                                        <ns0:quantityQualifier/>
                                        <ns0:quantity/>
                        </ns0:quantity>
                        <ns0:directions>
                                        <ns0:dosage>30 ml</ns0:dosage>
                        </ns0:directions>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030817200000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>07</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030815150000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>36</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:productSubstitutionCode>0</ns0:productSubstitutionCode>
                        <ns0:refillQuantity>
                                        <ns0:quantityQualifier>R</ns0:quantityQualifier>
                                        <ns0:quantity>0</ns0:quantity>
                        </ns0:refillQuantity>
        </ns0:DRU>
        <ns0:DRU>
                        <ns0:drug>
                                        <ns0:itemDescriptionIdentification>D</ns0:itemDescriptionIdentification>
                                        <ns0:itemDescription>Dibucaine</ns0:itemDescription>
                                        <ns0:itemNumber>00168004631</ns0:itemNumber>
                                        <ns0:codeListResponsibiltyAgency>ND</ns0:codeListResponsibiltyAgency>
                                        <ns0:measurementValue>30GM TUBE 1%</ns0:measurementValue>
                                        <ns0:form>0.1 TUBE</ns0:form>
                        </ns0:drug>
                        <ns0:quantity>
                                        <ns0:quantityQualifier>EA</ns0:quantityQualifier>
                                        <ns0:quantity>1.00</ns0:quantity>
                        </ns0:quantity>
                        <ns0:directions>
                                        <ns0:dosage>1 Appl</ns0:dosage>
                        </ns0:directions>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030817200000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>07</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030815150000-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>36</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:date>
                                        <ns0:dateTimePeriod>20030819062726-0400</ns0:dateTimePeriod>
                                        <ns0:dateTimePeriodFormatQualifier>126</ns0:dateTimePeriodFormatQualifier>
                                        <ns0:dateTimePeriodQualifier>LD</ns0:dateTimePeriodQualifier>
                        </ns0:date>
                        <ns0:productSubstitutionCode>0</ns0:productSubstitutionCode>
                        <ns0:refillQuantity>
                                        <ns0:quantityQualifier>R</ns0:quantityQualifier>
                                        <ns0:quantity>0</ns0:quantity>
                        </ns0:refillQuantity>
        </ns0:DRU>
        <ns0:UIT>
                        <ns0:messageReferenceNumber>0</ns0:messageReferenceNumber>
        </ns0:UIT>
        <ns0:UIZ>Text</ns0:UIZ>
</ns0:RXHRES>
</Response>