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| # | Location | File | Last Modified |
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| 1 | Fri Jun 9 19:50:56 2017 UTC | ||
| 2 | eHealth_Exch (eHealth Exchange Enhancements) Build 3 docs & code_May_2017.zip\VAP_CIF_CODE0502.zip\VAP_CIF_CODE0502\VAP_CIF_CODE0502\nvap-mock\src\main\resources\gov\va\nvap\mock\endpoint\vista\mvi | MPI RETURN CORRELATION DATA.txt | Fri Apr 21 20:03:28 2017 UTC |
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| 1 | 552^FACILI TY ID^DAYT ON^552 | |||||
| 2 | 552^INTEGR ATION CONT ROL NUMBER ^101258167 6V377802 | |||||
| 3 | 552^DFN^15 2825 | |||||
| 4 | 552^SOURCE ID TYPE^P atient int ernal iden tifier^PI | |||||
| 5 | 552^ASSIGN ING AUTHOR ITY^1^USVH A^2.16.840 .1.113883. 4.349 | |||||
| 6 | 552^SURNAM E^CHDRZZZT ESTPATIENT | |||||
| 7 | 552^FIRST NAME^CHDRO NE | |||||
| 8 | 552^MIDDLE NAME^ALLE N | |||||
| 9 | 552^NAME P REFIX^ | |||||
| 10 | 552^NAME S UFFIX^ | |||||
| 11 | 552^MOTHER S MAIDEN N AME^ | |||||
| 12 | 552^DATE O F BIRTH^MA R 03, 1960 | |||||
| 13 | 552^PLACE OF BIRTH C ITY^ | |||||
| 14 | 552^PLACE OF BIRTH S TATE^^ | |||||
| 15 | 552^DATE O F DEATH^ | |||||
| 16 | 552^GENDER ^MALE^M | |||||
| 17 | 552^SOCIAL SECURITY NUMBER^666 000001 | |||||
| 18 | 552^SSN VE RIFICATION STATUS^^ | |||||
| 19 | 552^PSEUDO SSN REASO N^^ | |||||
| 20 | 552^CLAIM NUMBER^ | |||||
| 21 | 552^DATE L AST TREATE D^ | |||||
| 22 | 552^ADT/HL 7 EVENT RE ASON^^ | |||||
| 23 | 552^DATE O F LAST UPD ATE MESSAG E^JUN 01, 2007@10:40 :01 | |||||
| 24 | 552^POTENT IAL CAT ED IT STATUS^ ^ | |||||
| 25 | 552^CORREL ATION DATE LAST UPDA TED^APR 11 , 2011@17: 10:59 | |||||
| 26 | 552^IDENTI FIER STATU S^^ | |||||
| 27 | 552^MARITA L STATUS^^ | |||||
| 28 | 552^STREET ADDRESS [ LINE 1]^ | |||||
| 29 | 552^STREET ADDRESS [ LINE 2]^ | |||||
| 30 | 552^STREET ADDRESS [ LINE 3]^ | |||||
| 31 | 552^CITY [ RESIDENCE] ^ | |||||
| 32 | 552^STATE [RESIDENCE ]^^ | |||||
| 33 | 552^ZIP+4 [RESIDENCE ]^ | |||||
| 34 | 552^PHONE NUMBER [RE SIDENCE]^ | |||||
| 35 | 552^POW ST ATUS INDIC ATED?^^ | |||||
| 36 | 552^MULTIP LE BIRTH I NDICATOR^N O^N | |||||
| 37 | 552^ALIAS^ 1^~~~~~ | |||||
| 38 | 552^RACE I NFORMATION ^1^^~ | |||||
| 39 | 552^ETHNIC ITY INFORM ATION^1^^~ | |||||
| 40 | 552^SITE A SSOCIATION ^1^^~~~~ | |||||
| 41 | 200PS^FACI LITY ID^AU STIN PSIM^ 200PS | |||||
| 42 | 200PS^INTE GRATION CO NTROL NUMB ER^1012581 676V377802 | |||||
| 43 | 200PS^DFN^ | |||||
| 44 | 200PS^SOUR CE ID TYPE ^Patient i nternal id entifier^P I | |||||
| 45 | 200PS^ASSI GNING AUTH ORITY^1^US VHA^2.16.8 40.1.11388 3.4.349 | |||||
| 46 | 200PS^SURN AME^ | |||||
| 47 | 200PS^FIRS T NAME^ | |||||
| 48 | 200PS^MIDD LE NAME^AL LEN | |||||
| 49 | 200PS^NAME PREFIX^ | |||||
| 50 | 200PS^NAME SUFFIX^ | |||||
| 51 | 200PS^MOTH ERS MAIDEN NAME^ | |||||
| 52 | 200PS^DATE OF BIRTH^ | |||||
| 53 | 200PS^PLAC E OF BIRTH CITY^ | |||||
| 54 | 200PS^PLAC E OF BIRTH STATE^^ | |||||
| 55 | 200PS^DATE OF DEATH^ MAR 03, 20 14 | |||||
| 56 | 200PS^GEND ER^^ | |||||
| 57 | 200PS^SOCI AL SECURIT Y NUMBER^ | |||||
| 58 | 200PS^SSN VERIFICATI ON STATUS^ ^ | |||||
| 59 | 200PS^PSEU DO SSN REA SON^^ | |||||
| 60 | 200PS^CLAI M NUMBER^ | |||||
| 61 | 200PS^DATE LAST TREA TED^ | |||||
| 62 | 200PS^ADT/ HL7 EVENT REASON^^ | |||||
| 63 | 200PS^DATE OF LAST U PDATE MESS AGE^ | |||||
| 64 | 200PS^POTE NTIAL CAT EDIT STATU S^^ | |||||
| 65 | 200PS^CORR ELATION DA TE LAST UP DATED^NOV 02, 2010@1 4:28:24 | |||||
| 66 | 200PS^IDEN TIFIER STA TUS^^ | |||||
| 67 | 200PS^MARI TAL STATUS ^^ | |||||
| 68 | 200PS^STRE ET ADDRESS [LINE 1]^ | |||||
| 69 | 200PS^STRE ET ADDRESS [LINE 2]^ | |||||
| 70 | 200PS^STRE ET ADDRESS [LINE 3]^ | |||||
| 71 | 200PS^CITY [RESIDENC E]^ | |||||
| 72 | 200PS^STAT E [RESIDEN CE]^^ | |||||
| 73 | 200PS^ZIP+ 4 [RESIDEN CE]^ | |||||
| 74 | 200PS^PHON E NUMBER [ RESIDENCE] ^ | |||||
| 75 | 200PS^POW STATUS IND ICATED?^^ | |||||
| 76 | 200PS^MULT IPLE BIRTH INDICATOR ^^ | |||||
| 77 | 200PS^ALIA S^1^~~~~~ | |||||
| 78 | 200PS^RACE INFORMATI ON^1^^~ | |||||
| 79 | 200PS^ETHN ICITY INFO RMATION^1^ ^~ | |||||
| 80 | 200PS^SITE ASSOCIATI ON^1^^~~~~ | |||||
| 81 | 983^FACILI TY ID^CHYS HR^983 | |||||
| 82 | 983^INTEGR ATION CONT ROL NUMBER ^101258167 6V377802 | |||||
| 83 | 983^DFN^71 89508 | |||||
| 84 | 983^SOURCE ID TYPE^P atient int ernal iden tifier^PI | |||||
| 85 | 983^ASSIGN ING AUTHOR ITY^1^USVH A^2.16.840 .1.113883. 4.349 | |||||
| 86 | 983^SURNAM E^CHDRZZZT ESTPATIENT | |||||
| 87 | 983^FIRST NAME^CHDRO NE | |||||
| 88 | 983^MIDDLE NAME^ALLE N | |||||
| 89 | 983^NAME P REFIX^ | |||||
| 90 | 983^NAME S UFFIX^ | |||||
| 91 | 983^MOTHER S MAIDEN N AME^ | |||||
| 92 | 983^DATE O F BIRTH^MA R 03, 1960 | |||||
| 93 | 983^PLACE OF BIRTH C ITY^ | |||||
| 94 | 983^PLACE OF BIRTH S TATE^^ | |||||
| 95 | 983^DATE O F DEATH^MA R 03, 2014 | |||||
| 96 | 983^GENDER ^MALE^M | |||||
| 97 | 983^SOCIAL SECURITY NUMBER^666 000001 | |||||
| 98 | 983^SSN VE RIFICATION STATUS^^ | |||||
| 99 | 983^PSEUDO SSN REASO N^^ | |||||
| 100 | 983^CLAIM NUMBER^ | |||||
| 101 | 983^DATE L AST TREATE D^DEC 23, 2010@08:42 | |||||
| 102 | 983^ADT/HL 7 EVENT RE ASON^CHECK ED OUT (CL INIC)^A3 | |||||
| 103 | 983^DATE O F LAST UPD ATE MESSAG E^JAN 11, 2011@14:52 :34 | |||||
| 104 | 983^POTENT IAL CAT ED IT STATUS^ ^ | |||||
| 105 | 983^CORREL ATION DATE LAST UPDA TED^JAN 11 , 2011@14: 52:38 | |||||
| 106 | 983^IDENTI FIER STATU S^^ | |||||
| 107 | 983^MARITA L STATUS^M ARRIED^M | |||||
| 108 | 983^STREET ADDRESS [ LINE 1]^12 34 Howard St. | |||||
| 109 | 983^STREET ADDRESS [ LINE 2]^ | |||||
| 110 | 983^STREET ADDRESS [ LINE 3]^ | |||||
| 111 | 983^CITY [ RESIDENCE] ^LA JOLLA | |||||
| 112 | 983^STATE [RESIDENCE ]^CALIFORN IA^CA | |||||
| 113 | 983^ZIP+4 [RESIDENCE ]^92038 | |||||
| 114 | 983^PHONE NUMBER [RE SIDENCE]^( 760)222-55 55 | |||||
| 115 | 983^POW ST ATUS INDIC ATED?^^ | |||||
| 116 | 983^MULTIP LE BIRTH I NDICATOR^N O^N | |||||
| 117 | 983^ALIAS^ 1^~~~~~ | |||||
| 118 | 983^RACE I NFORMATION ^1^^~ | |||||
| 119 | 983^ETHNIC ITY INFORM ATION^1^^~ | |||||
| 120 | 983^SITE A SSOCIATION ^1^^~~~~ | |||||
| 121 | 984^FACILI TY ID^DAYT SHR^984 | |||||
| 122 | 984^INTEGR ATION CONT ROL NUMBER ^101258167 6V377802 | |||||
| 123 | 984^DFN^55 2152098 | |||||
| 124 | 984^SOURCE ID TYPE^P atient int ernal iden tifier^PI | |||||
| 125 | 984^ASSIGN ING AUTHOR ITY^1^USVH A^2.16.840 .1.113883. 4.349 | |||||
| 126 | 984^SURNAM E^CHDRZZZT ESTPATIENT | |||||
| 127 | 984^FIRST NAME^CHDRO NE | |||||
| 128 | 984^MIDDLE NAME^ALLE N | |||||
| 129 | 984^NAME P REFIX^ | |||||
| 130 | 984^NAME S UFFIX^ | |||||
| 131 | 984^MOTHER S MAIDEN N AME^ | |||||
| 132 | 984^DATE O F BIRTH^MA R 03, 1960 | |||||
| 133 | 984^PLACE OF BIRTH C ITY^ | |||||
| 134 | 984^PLACE OF BIRTH S TATE^^ | |||||
| 135 | 984^DATE O F DEATH^MA R 03, 2014 | |||||
| 136 | 984^GENDER ^MALE^M | |||||
| 137 | 984^SOCIAL SECURITY NUMBER^666 000001 | |||||
| 138 | 984^SSN VE RIFICATION STATUS^^ | |||||
| 139 | 984^PSEUDO SSN REASO N^^ | |||||
| 140 | 984^CLAIM NUMBER^ | |||||
| 141 | 984^DATE L AST TREATE D^DEC 09, 2010@14:10 :25 | |||||
| 142 | 984^ADT/HL 7 EVENT RE ASON^CHECK ED OUT (CL INIC)^A3 | |||||
| 143 | 984^DATE O F LAST UPD ATE MESSAG E^OCT 21, 2010@13:18 :33 | |||||
| 144 | 984^POTENT IAL CAT ED IT STATUS^ ^ | |||||
| 145 | 984^CORREL ATION DATE LAST UPDA TED^DEC 09 , 2010@14: 13:23 | |||||
| 146 | 984^IDENTI FIER STATU S^^ | |||||
| 147 | 984^MARITA L STATUS^M ARRIED^M | |||||
| 148 | 984^STREET ADDRESS [ LINE 1]^12 34 Howard St. | |||||
| 149 | 984^STREET ADDRESS [ LINE 2]^ | |||||
| 150 | 984^STREET ADDRESS [ LINE 3]^ | |||||
| 151 | 984^CITY [ RESIDENCE] ^LA JOLLA | |||||
| 152 | 984^STATE [RESIDENCE ]^CALIFORN IA^CA | |||||
| 153 | 984^ZIP+4 [RESIDENCE ]^92038 | |||||
| 154 | 984^PHONE NUMBER [RE SIDENCE]^( 760)222-55 55 | |||||
| 155 | 984^POW ST ATUS INDIC ATED?^UNKN OWN^U | |||||
| 156 | 984^MULTIP LE BIRTH I NDICATOR^N O^N | |||||
| 157 | 984^ALIAS^ 1^~~~~~ | |||||
| 158 | 984^RACE I NFORMATION ^1^^~ | |||||
| 159 | 984^ETHNIC ITY INFORM ATION^1^NO T HISPANIC OR LATINO ^N | |||||
| 160 | 984^SITE A SSOCIATION ^1^^~~~~ | |||||
| 161 | 200ESR^FAC ILITY ID^E NROLLMENT SYSTEM RED ESIGN^200E SR | |||||
| 162 | 200ESR^INT EGRATION C ONTROL NUM BER^101258 1676V37780 2 | |||||
| 163 | 200ESR^DFN ^101116553 8V215459 | |||||
| 164 | 200ESR^SOU RCE ID TYP E^Patient internal i dentifier^ PI | |||||
| 165 | 200ESR^ASS IGNING AUT HORITY^1^U SVHA^2.16. 840.1.1138 83.4.349 | |||||
| 166 | 200ESR^SUR NAME^CHDRZ ZZTESTPATI ENT | |||||
| 167 | 200ESR^FIR ST NAME^CH DRONE | |||||
| 168 | 200ESR^MID DLE NAME^A LLEN | |||||
| 169 | 200ESR^NAM E PREFIX^ | |||||
| 170 | 200ESR^NAM E SUFFIX^ | |||||
| 171 | 200ESR^MOT HERS MAIDE N NAME^ | |||||
| 172 | 200ESR^DAT E OF BIRTH ^MAR 03, 1 960 | |||||
| 173 | 200ESR^PLA CE OF BIRT H CITY^ | |||||
| 174 | 200ESR^PLA CE OF BIRT H STATE^^ | |||||
| 175 | 200ESR^DAT E OF DEATH ^MAR 03, 2 014 | |||||
| 176 | 200ESR^GEN DER^MALE^M | |||||
| 177 | 200ESR^SOC IAL SECURI TY NUMBER^ | |||||
| 178 | 200ESR^SSN VERIFICAT ION STATUS ^^ | |||||
| 179 | 200ESR^PSE UDO SSN RE ASON^^ | |||||
| 180 | 200ESR^CLA IM NUMBER^ | |||||
| 181 | 200ESR^DAT E LAST TRE ATED^ | |||||
| 182 | 200ESR^ADT /HL7 EVENT REASON^^ | |||||
| 183 | 200ESR^DAT E OF LAST UPDATE MES SAGE^JUN 0 4, 2007@12 :35:48 | |||||
| 184 | 200ESR^POT ENTIAL CAT EDIT STAT US^^ | |||||
| 185 | 200ESR^COR RELATION D ATE LAST U PDATED^APR 11, 2011@ 17:10:59 | |||||
| 186 | 200ESR^IDE NTIFIER ST ATUS^^ | |||||
| 187 | 200ESR^MAR ITAL STATU S^^ | |||||
| 188 | 200ESR^STR EET ADDRES S [LINE 1] ^ | |||||
| 189 | 200ESR^STR EET ADDRES S [LINE 2] ^ | |||||
| 190 | 200ESR^STR EET ADDRES S [LINE 3] ^ | |||||
| 191 | 200ESR^CIT Y [RESIDEN CE]^ | |||||
| 192 | 200ESR^STA TE [RESIDE NCE]^^ | |||||
| 193 | 200ESR^ZIP +4 [RESIDE NCE]^ | |||||
| 194 | 200ESR^PHO NE NUMBER [RESIDENCE ]^ | |||||
| 195 | 200ESR^POW STATUS IN DICATED?^^ | |||||
| 196 | 200ESR^MUL TIPLE BIRT H INDICATO R^NO^N | |||||
| 197 | 200ESR^ALI AS^1^~~~~~ | |||||
| 198 | 200ESR^RAC E INFORMAT ION^1^^~ | |||||
| 199 | 200ESR^ETH NICITY INF ORMATION^1 ^^~ | |||||
| 200 | 200ESR^SIT E ASSOCIAT ION^1^^~~~ ~ | |||||
| 201 | 200DOD^FAC ILITY ID^D oD DEERS^2 00DOD | |||||
| 202 | 200DOD^INT EGRATION C ONTROL NUM BER^101258 1676V37780 2 | |||||
| 203 | 200DOD^DFN ^166600000 1 | |||||
| 204 | 200DOD^SOU RCE ID TYP E^National unique in dividual i dentifier^ NI | |||||
| 205 | 200DOD^ASS IGNING AUT HORITY^3^U SDOD^2.16. 840.1.1138 83.3.42.10 001.100001 .12 | |||||
| 206 | 200DOD^SUR NAME^CHDRZ ZZTESTPATI ENT | |||||
| 207 | 200DOD^FIR ST NAME^CH DRONE | |||||
| 208 | 200DOD^MID DLE NAME^A LLEN | |||||
| 209 | 200DOD^NAM E PREFIX^ | |||||
| 210 | 200DOD^NAM E SUFFIX^ | |||||
| 211 | 200DOD^MOT HERS MAIDE N NAME^ | |||||
| 212 | 200DOD^DAT E OF BIRTH ^MAR 03, 1 960 | |||||
| 213 | 200DOD^PLA CE OF BIRT H CITY^ | |||||
| 214 | 200DOD^PLA CE OF BIRT H STATE^^ | |||||
| 215 | 200DOD^DAT E OF DEATH ^MAR 03, 2 014 | |||||
| 216 | 200DOD^GEN DER^MALE^M | |||||
| 217 | 200DOD^SOC IAL SECURI TY NUMBER^ 666000001 | |||||
| 218 | 200DOD^SSN VERIFICAT ION STATUS ^^ | |||||
| 219 | 200DOD^PSE UDO SSN RE ASON^^ | |||||
| 220 | 200DOD^CLA IM NUMBER^ | |||||
| 221 | 200DOD^DAT E LAST TRE ATED^ | |||||
| 222 | 200DOD^ADT /HL7 EVENT REASON^^ | |||||
| 223 | 200DOD^DAT E OF LAST UPDATE MES SAGE^MAY 1 1, 2011@07 :46:59 | |||||
| 224 | 200DOD^POT ENTIAL CAT EDIT STAT US^^ | |||||
| 225 | 200DOD^COR RELATION D ATE LAST U PDATED^MAY 11, 2011@ 08:46:59 | |||||
| 226 | 200DOD^IDE NTIFIER ST ATUS^^ | |||||
| 227 | 200DOD^MAR ITAL STATU S^^ | |||||
| 228 | 200DOD^STR EET ADDRES S [LINE 1] ^1234 HOWA RD ST. | |||||
| 229 | 200DOD^STR EET ADDRES S [LINE 2] ^ | |||||
| 230 | 200DOD^STR EET ADDRES S [LINE 3] ^ | |||||
| 231 | 200DOD^CIT Y [RESIDEN CE]^LA JOL LA | |||||
| 232 | 200DOD^STA TE [RESIDE NCE]^CALIF ORNIA^CA | |||||
| 233 | 200DOD^ZIP +4 [RESIDE NCE]^92038 | |||||
| 234 | 200DOD^PHO NE NUMBER [RESIDENCE ]^1-760-22 2-5555 | |||||
| 235 | 200DOD^POW STATUS IN DICATED?^^ | |||||
| 236 | 200DOD^MUL TIPLE BIRT H INDICATO R^^ | |||||
| 237 | 200DOD^ALI AS^1^~~~~~ | |||||
| 238 | 200DOD^RAC E INFORMAT ION^1^^~ | |||||
| 239 | 200DOD^ETH NICITY INF ORMATION^1 ^^~ | |||||
| 240 | 200DOD^SIT E ASSOCIAT ION^1^^~~~ ~ | |||||
| 241 | 200NKP^FAC ILITY ID^N HIN EXC KA ISER PERMA NENTE^200N KP | |||||
| 242 | 200NKP^INT EGRATION C ONTROL NUM BER^101258 1676V37780 2 | |||||
| 243 | 200NKP^DFN ^KP0000129 | |||||
| 244 | 200NKP^SOU RCE ID TYP E^National unique in dividual i dentifier^ NI | |||||
| 245 | 200NKP^ASS IGNING AUT HORITY^2^^ 1.3.6.1.4. 1.26580 | |||||
| 246 | 200NKP^SUR NAME^CHDRZ ZZTESTPATI ENT | |||||
| 247 | 200NKP^FIR ST NAME^CH DRONE | |||||
| 248 | 200NKP^MID DLE NAME^A LLEN | |||||
| 249 | 200NKP^NAM E PREFIX^ | |||||
| 250 | 200NKP^NAM E SUFFIX^ | |||||
| 251 | 200NKP^MOT HERS MAIDE N NAME^ | |||||
| 252 | 200NKP^DAT E OF BIRTH ^MAR 03, 1 960 | |||||
| 253 | 200NKP^PLA CE OF BIRT H CITY^ | |||||
| 254 | 200NKP^PLA CE OF BIRT H STATE^^ | |||||
| 255 | 200NKP^DAT E OF DEATH ^MAR 03, 2 014 | |||||
| 256 | 200NKP^GEN DER^MALE^M | |||||
| 257 | 200NKP^SOC IAL SECURI TY NUMBER^ | |||||
| 258 | 200NKP^SSN VERIFICAT ION STATUS ^^ | |||||
| 259 | 200NKP^PSE UDO SSN RE ASON^^ | |||||
| 260 | 200NKP^CLA IM NUMBER^ | |||||
| 261 | 200NKP^DAT E LAST TRE ATED^ | |||||
| 262 | 200NKP^ADT /HL7 EVENT REASON^^ | |||||
| 263 | 200NKP^DAT E OF LAST UPDATE MES SAGE^MAY 1 1, 2011@07 :46:49 | |||||
| 264 | 200NKP^POT ENTIAL CAT EDIT STAT US^^ | |||||
| 265 | 200NKP^COR RELATION D ATE LAST U PDATED^MAY 11, 2011@ 08:46:51 | |||||
| 266 | 200NKP^IDE NTIFIER ST ATUS^^ | |||||
| 267 | 200NKP^MAR ITAL STATU S^^ | |||||
| 268 | 200NKP^STR EET ADDRES S [LINE 1] ^1234 Howa rd St. | |||||
| 269 | 200NKP^STR EET ADDRES S [LINE 2] ^ | |||||
| 270 | 200NKP^STR EET ADDRES S [LINE 3] ^ | |||||
| 271 | 200NKP^CIT Y [RESIDEN CE]^LA JOL LA | |||||
| 272 | 200NKP^STA TE [RESIDE NCE]^CALIF ORNIA^CA | |||||
| 273 | 200NKP^ZIP +4 [RESIDE NCE]^92038 | |||||
| 274 | 200NKP^PHO NE NUMBER [RESIDENCE ]^ | |||||
| 275 | 200NKP^POW STATUS IN DICATED?^^ | |||||
| 276 | 200NKP^MUL TIPLE BIRT H INDICATO R^^ | |||||
| 277 | 200NKP^ALI AS^1^~~~~~ | |||||
| 278 | 200NKP^RAC E INFORMAT ION^1^^~ | |||||
| 279 | 200NKP^ETH NICITY INF ORMATION^1 ^^~ | |||||
| 280 | 200NKP^SIT E ASSOCIAT ION^1^^~~~ ~ | |||||
| 281 | 200NWA^FAC ILITY ID^I NLAND NORT HWEST HEAL TH^200NWA | |||||
| 282 | 200NWA^INT EGRATION C ONTROL NUM BER^101258 1676V37780 2 | |||||
| 283 | 200NWA^DFN ^1099 | |||||
| 284 | 200NWA^SOU RCE ID TYP E^National unique in dividual i dentifier^ NI | |||||
| 285 | 200NWA^ASS IGNING AUT HORITY^16^ ^2.16.840. 1.113883.3 .715 | |||||
| 286 | 200NWA^SUR NAME^CHDRZ ZZTESTPATI ENT | |||||
| 287 | 200NWA^FIR ST NAME^CH DRONE | |||||
| 288 | 200NWA^MID DLE NAME^A LLEN | |||||
| 289 | 200NWA^NAM E PREFIX^ | |||||
| 290 | 200NWA^NAM E SUFFIX^ | |||||
| 291 | 200NWA^MOT HERS MAIDE N NAME^ | |||||
| 292 | 200NWA^DAT E OF BIRTH ^MAR 03, 1 960 | |||||
| 293 | 200NWA^PLA CE OF BIRT H CITY^ | |||||
| 294 | 200NWA^PLA CE OF BIRT H STATE^^ | |||||
| 295 | 200NWA^DAT E OF DEATH ^MAR 03, 2 014 | |||||
| 296 | 200NWA^GEN DER^MALE^M | |||||
| 297 | 200NWA^SOC IAL SECURI TY NUMBER^ 666000001 | |||||
| 298 | 200NWA^SSN VERIFICAT ION STATUS ^^ | |||||
| 299 | 200NWA^PSE UDO SSN RE ASON^^ | |||||
| 300 | 200NWA^CLA IM NUMBER^ | |||||
| 301 | 200NWA^DAT E LAST TRE ATED^ | |||||
| 302 | 200NWA^ADT /HL7 EVENT REASON^^ | |||||
| 303 | 200NWA^DAT E OF LAST UPDATE MES SAGE^MAY 1 1, 2011@07 :47:05 | |||||
| 304 | 200NWA^POT ENTIAL CAT EDIT STAT US^^ | |||||
| 305 | 200NWA^COR RELATION D ATE LAST U PDATED^MAY 11, 2011@ 08:47:07 | |||||
| 306 | 200NWA^IDE NTIFIER ST ATUS^^ | |||||
| 307 | 200NWA^MAR ITAL STATU S^^ | |||||
| 308 | 200NWA^STR EET ADDRES S [LINE 1] ^1234 Howa rd St | |||||
| 309 | 200NWA^STR EET ADDRES S [LINE 2] ^ | |||||
| 310 | 200NWA^STR EET ADDRES S [LINE 3] ^ | |||||
| 311 | 200NWA^CIT Y [RESIDEN CE]^La Jol la | |||||
| 312 | 200NWA^STA TE [RESIDE NCE]^^ | |||||
| 313 | 200NWA^ZIP +4 [RESIDE NCE]^ | |||||
| 314 | 200NWA^PHO NE NUMBER [RESIDENCE ]^ | |||||
| 315 | 200NWA^POW STATUS IN DICATED?^^ | |||||
| 316 | 200NWA^MUL TIPLE BIRT H INDICATO R^^ | |||||
| 317 | 200NWA^ALI AS^1^~~~~~ | |||||
| 318 | 200NWA^RAC E INFORMAT ION^1^^~ | |||||
| 319 | 200NWA^ETH NICITY INF ORMATION^1 ^^~ | |||||
| 320 | 200NWA^SIT E ASSOCIAT ION^1^^~~~ ~ |
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