MSH^~|\&^HDRPPAR^660~SALT-LAKEURL        ~DNS^HDR^200HD~MPI.DNS      URL        ~DNS^20020921133629-0500^^RDS~O13^12345678^T^2.4^^^AL^NE^USA
PID^1^1234567890V1234567^1234567890V123456~~~USVHA&&0363~NI~VA FACILITY ID&660&L|666116666~~~USSSA&&0363~SS~VA FACILITY ID&660&L|100000050~~~USVHA&&0363~PI~VA FACILITY ID&660&L|1234567~~~USVBA&&0363~PN~VA FACILITY ID&660&L|666000123V666666~~~USVHA&&0363~NI~VA FACILITY ID&660&L~~20020910|1000000012V666666~~~USVHA&&0363~NI~VA FACILITY ID&660&L~~20020910^^OPPATIENT~ONE~FIRST~~~~L^MOTHER SURNAME~~~~~~M^19450403^M^^2106-3-SLF~~0005~~~CDC^""~~""~STATE~""~~P|12345 SESAME STREET~~CITY~STATE~12345~~N^""^(123)555-1212X1111^(999)999-9999X9999^^S^9^^666111111^^^^^^^^^^19900101124602-0600
ORC^RE^13860699~660_52_39.3^1224~660_52_.001^^CM^^~~~20040328123456-0500~20040328123456-0500~~FILL/EXPIRATION|~~~20040328123456-0500~20040328123456-0500~~DISPENSED/LAST DISPENSED|~~~~20040328123456-0500~~ISSUED|~~~~20040328123456-0500~~CANCEL ^^20040328134602-0600^234567~OPEnterer~ONE~N~~~DO~VistA200^^3445678~OPProvider~ONE~K~II~~MD~RE|3780~OPProvider~TWO~R~III~~DO~COSIGNER^NP 8~2176^^^^790SLC~VAMC SALT LAKE CITY~660_52_20~3005255~Manchester VAMC~NCPDP^^^^SALT LAKE CITY HCS^^^^4500659~ACTIVE~99VA_52_100~4500707~DISPENSED~99VA_52_400
RXE^2&1000mg~~10M~20040328123456-0500~20040328123456-0500~~FILL/EXPIRATION|.5&250mg~~1D|.25&125mg~~10H|1&75mg~~1W^4008986~BUPROPION HCL 75MG TAB~99VA_52_6~00074-3807-13~~NDC^0^^20~MG~660_52_6^63~TAB~660_52_39.2~111111~TAB~99VA_52_39.2^~TAKE~660_52.0113_8|~TABLET~660_52.0113_3|~QAM~660_52.0113_7|4500667~AND~99VA_52.0113_5|~Put patient instruction field-114 here~660_52_114|~Put other patient instruction field-114.1 here~660_52_114.1|~Put expanded patient instruction field-115 here~660_52_115^~~~~~WINDOW^^12^^5^^1232~OPSupplier~FIRST~P~II~~PHD~PHARMACIST|3414~OPSupplier~TWO~K~II~~PHD~VERIFIER PHARM^12345^^^20040328134602-0600^^^TAKE 1 TABLET BY MOUTH EVERY MORNING AND~~660_52_10.2| Do not take if pulse less than 60~~660_52_10^D12^^^^^^^^^DARBEPOETIN ALFA 60MCG/1ML~~660_52_6.5|B0194~~660_50_27|5003~BUPROPION HCL 75MG TAB~660_50_.01
RXR^1~ORAL (BY MOUTH)~660_52.0113_6
FT1^1^^^20040328123456-0500^^CG^WARFARIN TAB~~660_52_39.2^^^^^0.059^^^^^^SC^^12345~OPProvider~SIX~A~IV~~MD~660_52_38
FT1^2^^^20040328123456-0600^^CO^1~PSO NSC RX COPAY NEW~660_52_105
OBX^1^CE^WAS THE PATIENT COUNSELED^^4500633~YES~99VA_52_41^^^^^^F
OBX^2^CE^WAS COUNSELING UNDERSTOOD^^4500630~NO~99VA_52_42^^^^^^F
OBX^3^CE^SERVICE CONNECTED^^4500633~YES~99VA_52_116^^^^^^F
OBX^4^CE^MILITARY SEXUAL TRAUMA^^4500630~NO~99VA_52_117^^^^^^F
OBX^5^CE^AGENT ORANGE EXPOSURE^^4500633~YES~99VA_52_118^^^^^^F
OBX^6^CE^IONIZING RADIATION EXPOSURE^^4500633~YES~99VA_52_119^^^^^^F
OBX^7^CE^ENVIRONMENTAL CONTAMINANT^^4500633~YES~99VA_52_120^^^^^^F
OBX^8^CE^HEAD AND/OR NECK CANCER^^4500633~YES~99VA_52_121^^^^^^F
OBX^9^CE^PRESCRIPTION RESULT OF TRANSITIONAL PHARMACY BENEFIT PROJECT^^4500633~YES~99VA_52_201^^^^^^F
OBX^10^NM^CLOZAPINE DOSAGE^^12.5^MG/DAY^^^^^F
OBX^11^NM^WBC Result^^7.39^^^^^^F^^^20040328123456-0600
OBX^12^CE^OTC FLAG^^Y~YES~HL70396^^^^^^F
OBX^13^ST^PDTS_PRESCRIPTION_NUMBER^^PDTS12345^^^^^^F
NTE^1^^RENEWED FROM RX # 2269502G^RE~REMARK~660_52_12
NTE^2^^DEVICE TO BE USED TO CUT TABLET^PR~PROVIDER COMMENTS~660_52.039_.01
NTE^3^^Wrong patient^DE~Deletion Reason~660_52_108
ORC^RF^^1^^^^~~~20040328123456-0500~20040328123456-0500~~DISPENSED/EXPIRATION^~1224^20040328134602-0600^^^45435~OPOdering Provider~ONE~J~II~~DO~VistA200^^^^REFILL^660~VAMC Salt Lake City~660_52_8~3005255~Manchester VAMC~NCPDP^^^^SALT LAKE CITY HCS^^^^~~~4500707~DISPENSED~99VA_52_400
RXE^~~~20040328123456-0500~~~REFILL^4008986~BUPROPION HCL 75MG TAB~99VA_52_6~1234567~~NDC^0^^20~MG~660_52_6^^^~~~~~WINDOW^^2^^^^1239~OPSupplier~ONE~L~II~~~VistA200^^^^20040328123456-0500^^^^D60^^^^^^^^^B0194~~660_50_27|5003~BUPROPION HCL 75MG TAB~660_50_.01
NTE^1^^Refill remarks^RE~REMARK~660_52.1_3
FT1^1^^^20040328134602-0600^^CG^WARFARIN TAB~~660_52_39.2^^^^^0.115
ORC^RF^^1^^^^~~~20040328123456-0600~~~DISPENSED^~1224^20040328123456-0500^^^45435~OPOrdering Provider~ONE~J~JR~~MD~VistA200^^^^PARTIAL^660~VAMC Salt Lake City~660_52_.09~3005255~Manchester VAMC~NCPDP^^^^SALT LAKE CITY HCS
RXE^~~~20040328123456-0500~~~PARTIAL^4008986~BUPROPION HCL 75MG TAB~99VA_52_6~1234567~~NDC^0^^20~MG~660_52_6^^^~~~~~WINDOW^^2^^^^1239~OPSupplier~ONE~L~II~~BN~VistA200^^^^20040328123456-0500^^^^D60^^^^^^^^^5003~BURPROPION HCL 75MG TAB~660_50_.01
NTE^1^^Partial remarks^RE~REMARK~660_52.2_.03
FT1^1^^^20040328134602-0600^^CG^WARFARIN TAB~~660_52_39.2^^^^^0.233

