<?xml version="1.0" encoding="UTF-8" ?>
<InsuranceClaim xmlns="http://www.vetxml.org/schemas/InsuranceClaim" version="1.09" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
	xsi:schemaLocation="http://www.vetxml.org/schemas/InsuranceClaim InsuranceClaim.xsd">
  <Identification>
    <OwnerID></OwnerID>
    <PracticeID></PracticeID>
    <PracticeClaimRef></PracticeClaimRef>
    <InsurerID></InsurerID>
    <InsurerClaimRef></InsurerClaimRef>
  </Identification>
  <InfoFromPolicyHolder>
    <PolicyDetails>
      <PolicyNumber>123ABC</PolicyNumber>
      <PolicyholderName>Mr Smith</PolicyholderName>
      <Address>10 Some Street, Somewhere</Address>
      <Postcode>ABC 123</Postcode>
      <AddressDifferentFromPolicy>false</AddressDifferentFromPolicy>
      <DaytimePhone>0123456789</DaytimePhone>
      <EveningPhone>0123456789</EveningPhone>
      <MobilePhone>07010123456</MobilePhone>
      <EmailAddress>fredsmith@anywhere.com</EmailAddress>
      <PreferredContactBy>{Phone/Letter/Email/Text}</PreferredContactBy>
      <AnimalInsuredWithCurrentProviderBefore>false</AnimalInsuredWithCurrentProviderBefore>
      <OtherInsurersCoveringAnimal>
        <Insurer>ANOther Insurance Company</Insurer>
      </OtherInsurersCoveringAnimal>
    </PolicyDetails>
    <AnimalDetails>
      <Name>Archie</Name>
      <PedigreeName />
      <Species>Dog</Species>
      <Breed>Cross</Breed>
      <DateOfBirth>2005-06-01</DateOfBirth>
      <Gender>Male</Gender>
      <Colour />
      <MicrochipNumber />
    </AnimalDetails>
    <Conditions>
      <Condition>
        <Description>A limp in the left leg</Description>
        <DateFirstNoticed>2007-04-01</DateFirstNoticed>
        <RepeatIllnessInjury>false</RepeatIllnessInjury>
        <DeathDueToIllnessInjury>false</DeathDueToIllnessInjury>
        <DateOfDeath>2007-04-28</DateOfDeath>
      </Condition>
    </Conditions>
    <PreviousVets>
      <PreviousVet>
        <PracticeID></PracticeID>
        <Name>David Hunt</Name>
        <Address>10 Some Street, Somewhere</Address>
        <Postcode>ABC 123</Postcode>
        <Phone>987654321</Phone>
        <DateFrom>2005-08-06</DateFrom>
        <DateTo>2006-02-17</DateTo>
      </PreviousVet>
    </PreviousVets>
    <Financial>
      <PayVet>true</PayVet>
      <PayClaimTo />
    </Financial>
  </InfoFromPolicyHolder>
  <InfoFromVet>
    <Miscellaneous>
      <AnimalRegistered>2006-02-18</AnimalRegistered>
      <LastVaccination>2007-01-06</LastVaccination>
      <MicrochipNumber />
      <GeneralRemarks />
      <ClaimHandler>
        <Name />
        <Phone />
        <Email />
      </ClaimHandler>
    </Miscellaneous>
    <Vet>
      <VetSurname>Jones</VetSurname>
      <VetForenames>David, Andrew</VetForenames>
      <VetPosition>Partner</VetPosition>
      <VetEmailAddress>davidjones@abcvetsurgery.com</VetEmailAddress>
      <PracticeName>ABC Veterinary Surgery</PracticeName>
      <PracticeID></PracticeID>
      <PracticeAddress></PracticeAddress>
      <PracticePostcode></PracticePostcode>
      <PracticePhone></PracticePhone>
    </Vet>
    <AnimalClinicalHistory>
      <Entry>
        <Date>2007-04-15</Date>
        <Time />
        <EnteredBy />
        <TextEntry />
      </Entry>
    </AnimalClinicalHistory>
    <Conditions>
      <Condition>
        <ConditionCode />
        <DiagnosisOrSigns>Left bicipital bursitis</DiagnosisOrSigns>
        <ClaimContinuation>don't know</ClaimContinuation>
        <ClaimReferenceNumber />
        <Started>2007-04-01</Started>
        <TreatmentDates>
          <DateFrom>2007-03-15</DateFrom>
          <DateTo>2007-04-14</DateTo>
        </TreatmentDates>
        <DeathOrEuthanasia>false</DeathOrEuthanasia>
        <PutDownByRecomendation>false</PutDownByRecomendation>
        <OngoingCondition>true</OngoingCondition>
        <SeenBeforeRelated>
          <Description>OCD left elbow</Description>
          <TreatmentDates>
            <DateFrom>2007-03-15</DateFrom>
            <DateTo>2007-04-14</DateTo>
          </TreatmentDates>
        </SeenBeforeRelated>
        <HouseVisitAndOOH>
          <HouseVisit>false</HouseVisit>
          <HouseVisitReason></HouseVisitReason>
          <OutOfHours>true</OutOfHours>
          <OutOfHoursReason>Very painfull</OutOfHoursReason>
        </HouseVisitAndOOH>
        <Financial>
          <TotalExVAT>100.00</TotalExVAT>
          <VAT>17.50</VAT>
          <TotalIncVat>117.50</TotalIncVat>
          <InvoiceItems>
            <Item>
              <Description>ABC</Description>
              <Type>X-Ray</Type>
              <AmountExVAT>35.00</AmountExVAT>
              <InvoiceNumber />
              <Date>2007-04-15</Date>
            </Item>
            <Item>
              <Description>XYZ</Description>
              <Type>Medication</Type>
              <AmountExVAT>65.00</AmountExVAT>
              <InvoiceNumber />
              <Date>2007-04-15</Date>
            </Item>
          </InvoiceItems>
        </Financial>
        <Remarks />
      </Condition>
    </Conditions>
    <Referrals>
      <Referral>
        <ReferralType>To</ReferralType>
        <ReferralReason>Second opinion sought on sore leg</ReferralReason>
        <ReferralPractice>
          <PracticeID />
          <Name>Susan Brown</Name>
          <Address>11 Some Street, Somewhere</Address>
          <Postcode>ABC 123</Postcode>
          <Phone>987654321</Phone>
        </ReferralPractice>
        <ReferralDate>2007-04-15</ReferralDate>
      </Referral>
    </Referrals>
    <Attachments>
      <Attachment>
        <AttachmentID>5c04a653-421e-4685-9579-fa7ae38c76b7</AttachmentID>
        <ContentLength>10240</ContentLength>
        <ContentType>image/jpeg</ContentType>
        <Description>X-RAY of left leg as a JPEG image</Description>
      </Attachment>
    </Attachments>
    <InsuranceCompanySpecificDetails>
      <PetPlan>
        <ClaimForDentalTreatment>
          <FullDentalHistory>asldjhfsadjfhasd</FullDentalHistory>
        </ClaimForDentalTreatment>
        <ClaimForUrinaryProblem>
          <DietFoodCostIncluded>
            <Name>Pal</Name>
            <Amount>14.59</Amount>
          </DietFoodCostIncluded>
          <CrystalsPresent>
            <Type>hard</Type>
            <Type>soft</Type>
          </CrystalsPresent>
          <UrineTests>
            <Date>2007-04-02</Date>
          </UrineTests>
        </ClaimForUrinaryProblem>
      </PetPlan>
    </InsuranceCompanySpecificDetails>
  </InfoFromVet>
</InsuranceClaim>