<?xml version="1.0" encoding="UTF-8"?>
<PreEncounter>
	<SenderData ProviderName="My Org" ProviderETIN="94203283999" BatchNumber="20060504-008"/>
	<DocumentFunction DocumentNumber="20060504-008-001" DocumentFunction="7" DMHID="700106">
		<EpisodeCare Division="ADA" EnrollingProviderSiteName="Eldon" EnrollingProviderSiteID="408" AdmissionDateTime="2006-03-23 12:00" DischargeReason="9" DischargeDateTime="2006-05-05 16:45" DischargeDiagnosisCode="305.00" TypeofFollowUp="3"/>
	</DocumentFunction>
</PreEncounter>
