MSH^~|\&^HTAPPL^200T5~LOCALHOST~DNS^HDR HTADL^200HD~DNS  SVWLS02.AAC.VA.GOV~DNS^20130109084057.046-0500^^MDM~T02^601467379^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
OBX^1^TX^^^<hthsurvey:hthSurvey xmlns:hthsurvey="HTHSurvey" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><adlSurveyResponse><patient><icn>icn10</icn><ssn>000000001</ssn><name><family>fam11</family><middle>String</middle><given>given10</given></name><birthdate>1967-08-13</birthdate></patient><enrollmentDate>1967-08-13</enrollmentDate><disenrollmentDate>1967-08-13</disenrollmentDate><activationDate>1967-08-13</activationDate><inactivationDate>1967-08-13</inactivationDate><facilityNumber>540</facilityNumber><vendorNumber>200T5</vendorNumber><vendorName>Viterion</vendorName><vendorMRN>String</vendorMRN><careCoordinator><id>ccString</id><name><family>String</family><middle>String</middle><given>ccString</given></name></careCoordinator><scheduledDate>1967-08-13</scheduledDate><completedDate>2013-01-09T07:36:10-05:00</completedDate><currentDialogueName>String</currentDialogueName><programName>String</programName><deviceName>String</deviceName><surveyAcceptedStatus>ACCEPTED</surveyAcceptedStatus><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>3.14</mentalScore><physicalScore>9.0</physicalScore></surveyScores></adlSurveyResponse></hthsurvey:hthSurvey>
