BHS^~|\&^VHA_HDR^HDR^CHDR SENDER^CHDR^20080615125959^^RSP*Z98*QRY_Q01
QPD^OC_CHDR^^1011164286^CHDR_RXOP^19000101010101.001-0400^20200101010101.001-0400
RCP^I^100~RD^B
MSH^~|\&^HDRPRES^outpatientPharmacyTest~~DNS^PSO VDEF IE SIDE^200HD~HDRURL        ~DNS^20100114155121^^RDE~O11^GENERATED-MESSAGE-CONTROL-ID^P^2.4^^^NE^NE^USA
PID^1^1011164286V166134^1011164286V166134~~~USVHA&&0363~NI~VA FACILITY ID&200M&L|outpatientPharmacyTest~~~USVHA&&0363~PI~VA FACILITY ID&outpatientPharmacyTest&L^^FamilyName~Given~MiddleName~~~~L
ORC^RE^ID_1263509481206~DefaultAssigningFacility^ID_126350948120610002~DefaultAssigningFacility^^Status^^~~~20100114155121~20100114155121~~FILL/EXPIRATION|~~~~20100114155121~~ISSUED|~~~20100114155121~20100114155121~~DISPENSED/LAST DISPENSED|~~~~20100114155121~~CANCEL^^20100114155121^test_IDS_3~FamilyName~Given~MiddleName~Suffix~Prefix~Title~IdSourceTable^^test_IDS_13001~FamilyName~Given~MiddleName~Suffix~Prefix~Title~IdSourceTable^PointOfCare~Room^^^^test_code_2003~DivisionIdDisplayTextLite~DivisionIdCodingSystemLite~test_code_2001~NcpdpIdDisplayTextLite~NcpdpIdCodingSystemLite^^^^OrganizationName^^^^test_code_2001~StatusModifierDisplayTextLite~StatusModifierCodingSystemLite~test_code_2002~CmopEventStatusDisplayTextLite~CmopEventStatusCodingSystemLite
RXE^15.0&DosageOrdered~~IntendedDuration~20100114155121~20100114155121~~FILL/CANCEL|15.0&DosageOrdered~~IntendedDuration^test_code_2003~Med Alt CodeDisplayText~Med Alt CodeCodingSystem~test_code_2003~OriginalNdcDisplayTextLite~OriginalNdcCodingSystemLite^0^^test_code_2005~VistaGiveUnitsDisplayTextLite~VistaGiveUnitsCodingSystemLite^test_code_2001~DosageFormDisplayTextLite~DosageFormCodingSystemLite^test_code_2002~VerbDisplayTextLite~VerbCodingSystemLite|test_code_2005~NounDisplayTextLite~NounCodingSystemLite|test_code_2005~ScheduleDisplayTextLite~ScheduleCodingSystemLite|test_code_2005~ConjunctionDisplayTextLite~ConjunctionCodingSystemLite|test_code_2001~VerbDisplayTextLite~VerbCodingSystemLite|test_code_2001~NounDisplayTextLite~NounCodingSystemLite|test_code_2004~ScheduleDisplayTextLite~ScheduleCodingSystemLite|test_code_2005~ConjunctionDisplayTextLite~ConjunctionCodingSystemLite|~PatientInstructions_0 PatientInstructions_1~outpatientPharmacyTest_52_114|~OtherPatientInstructions_0 OtherPatientInstructions_1~outpatientPharmacyTest_52_114.1|~ExpandedPatientInstructions_0 ExpandedPatientInstructions_1 [encoded data, 7569 characters] [encoded data, 7569 characters]~outpatientPharmacyTest_52_115^~~~~~MailWindow^^1.0^^5^^test_IDS_6003~FamilyName~Given~MiddleName~Suffix~Prefix~Title~IdSourceTable^PrescriptionId^13^^20100114155121^^^Sig_0 Sig_1~~outpatientPharmacyTest_52_10.2^5^^^^^^^^^test_code_2001~OrderedMedication TradeNmDisplayTextLite~OrderedMedication TradeNmCodingSystemLite|Med Alt Codetest_altcode_3003~Med Alt CodeAltDisplayTextLite~Med Alt CodeAltCodingSystem|test_code_2003~OrderedMedication CmopDrugCdDisplayTextLite~OrderedMedication CmopDrugCdCodingSystemLite
RXR^test_code_2005~RouteDisplayTextLite~RouteCodingSystemLite|test_code_2002~RouteDisplayTextLite~RouteCodingSystemLite
FT1^1^^^20100114155121^^CG^test_code_2003~ItemDisplayTextLite~ItemCodingSystemLite^^^^^0.0^^^^^^PharmacyPatientType^^test_FINISHERID_7003~FamilyName~Given~MiddleName~Suffix~Prefix~Title~IdSourceTable
FT1^2^^^20100114155121^^CO^test_code_2003~CopayTransactionTypeDisplayTextLite~CopayTransactionTypeCodingSystemLite
OBX^1^CE^WAS THE PATIENT COUNSELED^^test_code_2004~WasPatientCounseledDisplayTextLite~WasPatientCounseledCodingSystemLite^^^^^^F
OBX^2^CE^WAS COUNSELING UNDERSTOOD^^test_code_2001~LevelOfUnderstandingDisplayTextLite~LevelOfUnderstandingCodingSystemLite^^^^^^F
OBX^3^CE^test_code_2004^^test_code_2005~FactorValueDisplayTextLite~FactorValueCodingSystemLite^^^^^^F
OBX^4^CE^test_code_2002^^test_code_2005~FactorValueDisplayTextLite~FactorValueCodingSystemLite^^^^^^F
OBX^5^CE^PRESCRIPTION RESULT OF TRANSITIONAL PHARMACY BENEFIT PROJECT^^test_code_2001~TransitionalRxBenefitDisplayTextLite~TransitionalRxBenefitCodingSystemLite^^^^^^F
OBX^6^NM^CLOZAPINE DOSAGE^^1.0^test_code_2005^^^^^F
OBX^7^NM^WBC RESULTS^^10.0^^^^^^F^^^20100114155121
OBX^8^CE^OTC FLAG^^test_code_2003~OrderedMedication NDFCdDisplayTextLite~OrderedMedication NDFCdCodingSystemLite^^^^^^F
OBX^9^ST^PDTS_PRESCRIPTION_NUMBER^^PdtsPrescriptionId^^^^^^F
NTE^1^^Comments_0 Comments_1^RE~REMARKS~outpatientPharmacyTest_52_12
NTE^3^^CancelAct_Comment_0 CancelAct_Comment_1^DE~DELETION REASON~outpatientPharmacyTest_52_108
ORC^RF^^ID_126350948120710002~DefaultAssigningFacility^^^^~~~20100114155121~~~DISPENSED^~ID_126350948120610002^20100114155121^^^^^^^REFILL^test_code_2005~DivisionIdDisplayTextLite~DivisionIdCodingSystemLite~test_code_2002~NcpdpIdDisplayTextLite~NcpdpIdCodingSystemLite^^^^OrganizationName^^^^~~~test_code_2005~CmopEventStatusDisplayTextLite~CmopEventStatusCodingSystemLite
RXE^~~~20100114155121~~~REFILL^test_code_2003~Med Alt CodeDisplayText~Med Alt CodeCodingSystem~test_code_2002~RefillNdcDisplayTextLite~RefillNdcCodingSystemLite^0^^test_code_2005~VistaGiveUnitsDisplayTextLite~VistaGiveUnitsCodingSystemLite^^^~~~~~MailWindow^^1.0^^^^test_IDS_6001~FamilyName~Given~MiddleName~Suffix~Prefix~Title~IdSourceTable^^13^^20100114155121^^^^5^^^^^^^^^Med Alt Codetest_altcode_3003~Med Alt CodeAltDisplayTextLite~Med Alt CodeAltCodingSystem|test_code_2003~OrderedMedication CmopDrugCdDisplayTextLite~OrderedMedication CmopDrugCdCodingSystemLite
NTE^1^^Comments_0 Comments_1^RE~REMARKS~outpatientPharmacyTest_52.1_3
FT1^1^^^20100114155121^^CG^test_code_2003~ItemDisplayTextLite~ItemCodingSystemLite^^^^^0.0
ORC^RF^^ID_126350948120810002~DefaultAssigningFacility^^^^~~~20100114155121~~~DISPENSED^~ID_126350948120610002^20100114155121^^^^^^^REFILL^test_code_2004~DivisionIdDisplayTextLite~DivisionIdCodingSystemLite~test_code_2004~NcpdpIdDisplayTextLite~NcpdpIdCodingSystemLite^^^^OrganizationName^^^^~~~test_code_2005~CmopEventStatusDisplayTextLite~CmopEventStatusCodingSystemLite
RXE^~~~20100114155121~~~REFILL^test_code_2003~Med Alt CodeDisplayText~Med Alt CodeCodingSystem~test_code_2003~RefillNdcDisplayTextLite~RefillNdcCodingSystemLite^0^^test_code_2005~VistaGiveUnitsDisplayTextLite~VistaGiveUnitsCodingSystemLite^^^~~~~~MailWindow^^1.0^^^^test_IDS_6003~FamilyName~Given~MiddleName~Suffix~Prefix~Title~IdSourceTable^^13^^20100114155121^^^^5^^^^^^^^^Med Alt Codetest_altcode_3003~Med Alt CodeAltDisplayTextLite~Med Alt CodeAltCodingSystem|test_code_2003~OrderedMedication CmopDrugCdDisplayTextLite~OrderedMedication CmopDrugCdCodingSystemLite
NTE^1^^Comments_0 Comments_1^RE~REMARKS~outpatientPharmacyTest_52.1_3
FT1^1^^^20100114155121^^CG^test_code_2003~ItemDisplayTextLite~ItemCodingSystemLite^^^^^0.0
ORC^RF^^ID_126350948120810002~DefaultAssigningFacility^^^^~~~20100114155121~~~DISPENSED^~ID_126350948120610002^20100114155121^^^^^^^PARTIAL^test_code_2003~DivisionIdDisplayTextLite~DivisionIdCodingSystemLite~test_code_2004~NcpdpIdDisplayTextLite~NcpdpIdCodingSystemLite^^^^OrganizationName
RXE^~~~20100114155121~~~PARTIAL^test_code_2003~Med Alt CodeDisplayText~Med Alt CodeCodingSystem~test_code_2003~PartialNdcDisplayTextLite~PartialNdcCodingSystemLite^0^^test_code_2005~VistaGiveUnitsDisplayTextLite~VistaGiveUnitsCodingSystemLite^^^~~~~~MailWindow^^1.0^^^^test_IDS_6002~FamilyName~Given~MiddleName~Suffix~Prefix~Title~IdSourceTable^^13^^20100114155121^^^^5^^^^^^^^^Med Alt Codetest_altcode_3003~Med Alt CodeAltDisplayTextLite~Med Alt CodeAltCodingSystem
NTE^1^^Comments_0 Comments_1^RE~REMARKS~outpatientPharmacyTest_52.2_.03
FT1^1^^^20100114155121^^CG^test_code_2003~ItemDisplayTextLite~ItemCodingSystemLite^^^^^0.0
ORC^RF^^ID_126350948120810002~DefaultAssigningFacility^^^^~~~20100114155121~~~DISPENSED^~ID_126350948120610002^20100114155121^^^^^^^PARTIAL^test_code_2004~DivisionIdDisplayTextLite~DivisionIdCodingSystemLite~test_code_2003~NcpdpIdDisplayTextLite~NcpdpIdCodingSystemLite^^^^OrganizationName
RXE^~~~20100114155121~~~PARTIAL^test_code_2003~Med Alt CodeDisplayText~Med Alt CodeCodingSystem~test_code_2003~PartialNdcDisplayTextLite~PartialNdcCodingSystemLite^0^^test_code_2005~VistaGiveUnitsDisplayTextLite~VistaGiveUnitsCodingSystemLite^^^~~~~~MailWindow^^1.0^^^^test_IDS_6002~FamilyName~Given~MiddleName~Suffix~Prefix~Title~IdSourceTable^^13^^20100114155121^^^^5^^^^^^^^^Med Alt Codetest_altcode_3003~Med Alt CodeAltDisplayTextLite~Med Alt CodeAltCodingSystem
NTE^1^^Comments_0 Comments_1^RE~REMARKS~outpatientPharmacyTest_52.2_.03
FT1^1^^^20100114155121^^CG^test_code_2003~ItemDisplayTextLite~ItemCodingSystemLite^^^^^0.0
BTS^1
