MSH^~|\&^HTAPPL^200T5~LOCALHOST~DNS^HDR HTPS^200HD~DNS  SVWLS02.AAC.DNS   ~DNS^20040621104503 05 00^^MDM~T02^500999399^T^2.4^^^AL^AL^US
PID^^^1234567890V123456~~~USVHA~PI~&540^^Patient~Veterans~Administration~Jr~Dr~MD~L|1234567890~~~USVHA~PI~VA FACILITY&552&L|123456789~~~USSSA~SS~VA FACILITY ID&STATION&L^^Patient~Veterans~Aloysius~~~~L^Government~~~~~~M^19461222^m^^w^^^^^^M^C^^^^^American^^^^^veteran^
PD1^^^^32885~Jones~John~M~~~~~USVHA~L~~~NI~facility&facility number&L
TXA^^PR^TEXT^20130214214545-0500^^20130214214545-0500^^^33250~Doctor~Fine~~~~~~~~~~~facility&station&L^33250~Doctor~Fine~~~~~~~~~~~facility&station&L^^12345~USVHA^2.0~Patient Satisfaction^^320130214214545~HT^Patient Satisfaction^PA^U^Periodic Note Status is AV ^AC^end of collection period^
OBX^1^TX^^^<hthsurvey:hthSurvey xmlns:hthsurvey="HTHSurvey" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><psSurveyResponse><patient><icn>icn11</icn><ssn>000000011</ssn><name><family>fam111</family><middle>middle11</middle><given>given11</given></name><birthdate>1961-08-13</birthdate></patient><enrollmentDate>1967-08-13</enrollmentDate><disenrollmentDate>1969-08-13</disenrollmentDate><activationDate>1969-08-13</activationDate><inactivationDate>1969-08-13</inactivationDate><facilityNumber>540</facilityNumber><vendorNumber>200T5</vendorNumber><vendorName>Viterion</vendorName><vendorMRN>ViterionMRN</vendorMRN><careCoordinator><id>ccString</id><name><family>fString</family><middle>mString</middle><given>gString</given></name></careCoordinator><scheduledDate>1967-08-13</scheduledDate><completedDate>2013-01-09T07:36:10-05:00</completedDate><currentDialogueName>cString</currentDialogueName><programName>pString</programName><deviceName>dString</deviceName><surveyAcceptedStatus>ACCEPTED</surveyAcceptedStatus><surveyTitle>Patient Satisfaction</surveyTitle><surveyVersion>1.0</surveyVersion><surveyQuestionsAndAnswers><surveyQuestionAndAnswer><questionNumber>1</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>2</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>3</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>4</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>5</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>6</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>7</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>8</questionNumber><answer>1</answer></surveyQuestionAndAnswer></surveyQuestionsAndAnswers></psSurveyResponse></hthsurvey:hthSurvey>
