MSH^~|\&^HTAPPL^200T8~LOCALHOST~DNS^HDR HTADL^200HD~DNS  SVWLS02.AAC.DNS   ~DNS^20130813-0500^^MDM~T02^000201308131100^T^2.4^^^AL^AL^US
PID^^^6000000011V666611~~~USVHA~PI~&528A8^^HDRiii~mickeyi~ti~~~~L|502090~~~USVHA~PI~VA FACILITY&528A8&L|666001000~~~USSSA~SS~VA FACILITY ID&STATION&L^^HDRiIi~mickeyI~TI~~~~L^~~~~~~M^19441019^m^^w^^^^^^M^C^^^^^American^^^^^veteran^
PD1^^^^77700~Hdriii~mickeyi~Ti~Jr~~~~USVHA~L~~~NI~ALBANY&528A8&L
OBX^1^TX^^^<hthsurvey:hthSurvey xsi:schemaLocation="HTHSurvey HTHSurveys.xsd" xmlns:hthsurvey="HTHSurvey" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><adlSurveyResponse><patient><icn>1234567890V123456</icn><ssn>999990000</ssn><name><family>ADLPt</family><middle>A</middle><given>ADLname</given></name><birthdate>1942-11-21</birthdate></patient><enrollmentDate>2010-08-12</enrollmentDate><disenrollmentDate xsi:nil="true"/><activationDate>2011-08-13</activationDate><inactivationDate xsi:nil="true"/><facilityNumber>528A8I</facilityNumber><vendorNumber>200T8</vendorNumber><vendorName>Authentidate</vendorName><vendorMRN>String</vendorMRN><careCoordinator><id>123456</id><name><family>Coordinator</family><middle>1</middle><given>Care</given></name></careCoordinator><scheduledDate>2010-08-13</scheduledDate><completedDate>2013-08-13T10:56:47-07:00</completedDate><currentDialogueName>String</currentDialogueName><programName>String</programName><deviceName>String</deviceName><surveyAcceptedStatus>ACCEPTED</surveyAcceptedStatus><recordSource><namespaceId>200TX</namespaceId><universalId>SENDING_DNS</universalId><universalIdType>DNS</universalIdType></recordSource><surveyTitle>VR-12 ADL</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><surveyQuestionAndAnswer><questionNumber>9</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>10</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>11</questionNumber><answer>1</answer></surveyQuestionAndAnswer><surveyQuestionAndAnswer><questionNumber>12</questionNumber><answer>1</answer></surveyQuestionAndAnswer></surveyQuestionsAndAnswers><surveyScores><mentalScore>0.10001</mentalScore><physicalScore>0.01009</physicalScore></surveyScores></adlSurveyResponse></hthsurvey:hthSurvey>^^^^^^^^^^^^^VISN20_89004542.2~605_120.5~VISN11_90850576.2~VISN15_36032759.2