534^FACILITY ID^CHARLESTON VAMC^534
534^INTEGRATION CONTROL NUMBER^1017237188V293031
534^DFN^275959
534^SOURCE ID TYPE^Patient internal identifier^PI
534^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
534^SURNAME^CHDRZZZTESTPATIENT
534^FIRST NAME^CHDRONE
534^MIDDLE NAME^ALLEN
534^NAME PREFIX^
534^NAME SUFFIX^
534^MOTHERS MAIDEN NAME^
534^DATE OF BIRTH^MAR 03, 1960
534^PLACE OF BIRTH CITY^
534^PLACE OF BIRTH STATE^^
534^DATE OF DEATH^
534^GENDER^MALE^M
534^SOCIAL SECURITY NUMBER^666000001
534^SSN VERIFICATION STATUS^^
534^PSEUDO SSN REASON^^
534^CLAIM NUMBER^
534^DATE LAST TREATED^
534^ADT/HL7 EVENT REASON^^
534^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@09:29:41
534^POTENTIAL CAT EDIT STATUS^^
534^CORRELATION DATE LAST UPDATED^SEP 27, 2011@08:29:41
534^ROI SIGNED INDICATOR^^
534^IDENTIFIER STATUS^^
534^LEVEL OF ASSURANCE^^
534^MARITAL STATUS^MARRIED^M
534^STREET ADDRESS [LINE 1]^1234 HOWARD ST.
534^STREET ADDRESS [LINE 2]^
534^STREET ADDRESS [LINE 3]^
534^CITY [RESIDENCE]^LA JOLLA
534^STATE [RESIDENCE]^CALIFORNIA^CA
534^ZIP+4 [RESIDENCE]^92038
534^PHONE NUMBER [RESIDENCE]^(760)222-5555
534^POW STATUS INDICATED?^^
534^MULTIPLE BIRTH INDICATOR^^
534^ALIAS^1^~~~~~
534^RACE INFORMATION^1^^~
534^ETHNICITY INFORMATION^1^^~
534^SITE ASSOCIATION^1^^~~~~
561^FACILITY ID^EAST ORANGE-VA NEW JERSEY HCS^561
561^INTEGRATION CONTROL NUMBER^1017237188V293031
561^DFN^561326786
561^SOURCE ID TYPE^Patient internal identifier^PI
561^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
561^SURNAME^CHDRZZZTESTPATIENT
561^FIRST NAME^CHDRONE
561^MIDDLE NAME^ALLEN
561^NAME PREFIX^
561^NAME SUFFIX^
561^MOTHERS MAIDEN NAME^
561^DATE OF BIRTH^MAR 03, 1960
561^PLACE OF BIRTH CITY^
561^PLACE OF BIRTH STATE^^
561^DATE OF DEATH^
561^GENDER^MALE^M
561^SOCIAL SECURITY NUMBER^666000001
561^SSN VERIFICATION STATUS^^
561^PSEUDO SSN REASON^^
561^CLAIM NUMBER^
561^DATE LAST TREATED^AUG 27, 2010@15:59
561^ADT/HL7 EVENT REASON^CHECKED OUT (CLINIC)^A3
561^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@09:50:36
561^POTENTIAL CAT EDIT STATUS^^
561^CORRELATION DATE LAST UPDATED^SEP 27, 2011@08:50:41
561^ROI SIGNED INDICATOR^^
561^IDENTIFIER STATUS^^
561^LEVEL OF ASSURANCE^^
561^MARITAL STATUS^MARRIED^M
561^STREET ADDRESS [LINE 1]^1234 HOWARD ST.
561^STREET ADDRESS [LINE 2]^
561^STREET ADDRESS [LINE 3]^
561^CITY [RESIDENCE]^LA JOLLA
561^STATE [RESIDENCE]^CALIFORNIA^CA
561^ZIP+4 [RESIDENCE]^92038
561^PHONE NUMBER [RESIDENCE]^(760)222-5555
561^POW STATUS INDICATED?^^
561^MULTIPLE BIRTH INDICATOR^^
561^ALIAS^1^~~~~~
561^RACE INFORMATION^1^^~
561^ETHNICITY INFORMATION^1^^~
561^SITE ASSOCIATION^1^HDR (Available Soon)^200HD~~~~
590^FACILITY ID^HAMPTON (VAMC)^590
590^INTEGRATION CONTROL NUMBER^1017237188V293031
590^DFN^5903002724
590^SOURCE ID TYPE^Patient internal identifier^PI
590^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
590^SURNAME^CHDRZZZTESTPATIENT
590^FIRST NAME^CHDRONE
590^MIDDLE NAME^ALLEN
590^NAME PREFIX^
590^NAME SUFFIX^
590^MOTHERS MAIDEN NAME^
590^DATE OF BIRTH^MAR 03, 1960
590^PLACE OF BIRTH CITY^LAJOLLA
590^PLACE OF BIRTH STATE^CALIFORNIA^CA
590^DATE OF DEATH^
590^GENDER^MALE^M
590^SOCIAL SECURITY NUMBER^666000001
590^SSN VERIFICATION STATUS^^
590^PSEUDO SSN REASON^^
590^CLAIM NUMBER^
590^DATE LAST TREATED^OCT 12, 2011@11:05
590^ADT/HL7 EVENT REASON^CHECKED OUT (CLINIC)^A3
590^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@09:41:15
590^POTENTIAL CAT EDIT STATUS^^
590^CORRELATION DATE LAST UPDATED^OCT 12, 2011@10:08:35
590^ROI SIGNED INDICATOR^^
590^IDENTIFIER STATUS^^
590^LEVEL OF ASSURANCE^^
590^MARITAL STATUS^MARRIED^M
590^STREET ADDRESS [LINE 1]^1234 HOWARD ST.
590^STREET ADDRESS [LINE 2]^
590^STREET ADDRESS [LINE 3]^
590^CITY [RESIDENCE]^LA JOLLA
590^STATE [RESIDENCE]^CALIFORNIA^CA
590^ZIP+4 [RESIDENCE]^92038
590^PHONE NUMBER [RESIDENCE]^(760)222-5555
590^POW STATUS INDICATED?^^
590^MULTIPLE BIRTH INDICATOR^^
590^ALIAS^1^~~~~~
590^RACE INFORMATION^1^^~
590^ETHNICITY INFORMATION^1^^~
590^SITE ASSOCIATION^1^HDR (Available Soon)^200HD~~~~
637^FACILITY ID^ASHEVILLE VAMC^637
637^INTEGRATION CONTROL NUMBER^1017237188V293031
637^DFN^637157138
637^SOURCE ID TYPE^Patient internal identifier^PI
637^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
637^SURNAME^CHDRZZZTESTPATIENT
637^FIRST NAME^CHDRONE
637^MIDDLE NAME^ALLEN
637^NAME PREFIX^
637^NAME SUFFIX^
637^MOTHERS MAIDEN NAME^
637^DATE OF BIRTH^MAR 03, 1960
637^PLACE OF BIRTH CITY^LAJOLLA
637^PLACE OF BIRTH STATE^CALIFORNIA^CA
637^DATE OF DEATH^
637^GENDER^MALE^M
637^SOCIAL SECURITY NUMBER^666000001
637^SSN VERIFICATION STATUS^^
637^PSEUDO SSN REASON^^
637^CLAIM NUMBER^
637^DATE LAST TREATED^
637^ADT/HL7 EVENT REASON^^
637^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@09:29:38
637^POTENTIAL CAT EDIT STATUS^^
637^CORRELATION DATE LAST UPDATED^SEP 27, 2011@08:29:39
637^ROI SIGNED INDICATOR^^
637^IDENTIFIER STATUS^^
637^LEVEL OF ASSURANCE^^
637^MARITAL STATUS^MARRIED^M
637^STREET ADDRESS [LINE 1]^1234 HOWARD STREET
637^STREET ADDRESS [LINE 2]^
637^STREET ADDRESS [LINE 3]^
637^CITY [RESIDENCE]^LA JOLLA
637^STATE [RESIDENCE]^CALIFORNIA^CA
637^ZIP+4 [RESIDENCE]^92038
637^PHONE NUMBER [RESIDENCE]^(760)222-5555
637^POW STATUS INDICATED?^^
637^MULTIPLE BIRTH INDICATOR^^
637^ALIAS^1^~~~~~
637^RACE INFORMATION^1^^~
637^ETHNICITY INFORMATION^1^^~
637^SITE ASSOCIATION^1^^~~~~
664^FACILITY ID^SAN DIEGO HCS^664
664^INTEGRATION CONTROL NUMBER^1017237188V293031
664^DFN^289605
664^SOURCE ID TYPE^Patient internal identifier^PI
664^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
664^SURNAME^CHDRZZZTESTPATIENT
664^FIRST NAME^CHDRONE
664^MIDDLE NAME^ALLEN
664^NAME PREFIX^
664^NAME SUFFIX^
664^MOTHERS MAIDEN NAME^
664^DATE OF BIRTH^MAR 03, 1960
664^PLACE OF BIRTH CITY^
664^PLACE OF BIRTH STATE^^
664^DATE OF DEATH^
664^GENDER^MALE^M
664^SOCIAL SECURITY NUMBER^666000001
664^SSN VERIFICATION STATUS^^
664^PSEUDO SSN REASON^^
664^CLAIM NUMBER^
664^DATE LAST TREATED^FEB 04, 2011@09:00
664^ADT/HL7 EVENT REASON^CHECKED OUT (CLINIC)^A3
664^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@06:29:38
664^POTENTIAL CAT EDIT STATUS^^
664^CORRELATION DATE LAST UPDATED^SEP 27, 2011@08:29:39
664^ROI SIGNED INDICATOR^^
664^IDENTIFIER STATUS^^
664^LEVEL OF ASSURANCE^^
664^MARITAL STATUS^MARRIED^M
664^STREET ADDRESS [LINE 1]^1234 HOWARD ST.
664^STREET ADDRESS [LINE 2]^
664^STREET ADDRESS [LINE 3]^
664^CITY [RESIDENCE]^LA JOLLA
664^STATE [RESIDENCE]^CALIFORNIA^CA
664^ZIP+4 [RESIDENCE]^92038
664^PHONE NUMBER [RESIDENCE]^(760)222-5555
664^POW STATUS INDICATED?^^
664^MULTIPLE BIRTH INDICATOR^^
664^ALIAS^1^~~~~~
664^RACE INFORMATION^1^^~
664^ETHNICITY INFORMATION^1^^~
664^SITE ASSOCIATION^1^HDR (Available Soon)^200HD~ACTIVE~0~~
668^FACILITY ID^SPOKANE VAMC^668
668^INTEGRATION CONTROL NUMBER^1017237188V293031
668^DFN^116383
668^SOURCE ID TYPE^Patient internal identifier^PI
668^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
668^SURNAME^CHDRZZZTESTPATIENT
668^FIRST NAME^CHDRONE
668^MIDDLE NAME^ALLEN
668^NAME PREFIX^
668^NAME SUFFIX^
668^MOTHERS MAIDEN NAME^
668^DATE OF BIRTH^MAR 03, 1960
668^PLACE OF BIRTH CITY^LAJOLLA
668^PLACE OF BIRTH STATE^CALIFORNIA^CA
668^DATE OF DEATH^
668^GENDER^MALE^M
668^SOCIAL SECURITY NUMBER^666000001
668^SSN VERIFICATION STATUS^^
668^PSEUDO SSN REASON^^
668^CLAIM NUMBER^
668^DATE LAST TREATED^
668^ADT/HL7 EVENT REASON^^
668^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@06:29:38
668^POTENTIAL CAT EDIT STATUS^^
668^CORRELATION DATE LAST UPDATED^SEP 27, 2011@08:29:38
668^ROI SIGNED INDICATOR^^
668^IDENTIFIER STATUS^^
668^LEVEL OF ASSURANCE^^
668^MARITAL STATUS^MARRIED^M
668^STREET ADDRESS [LINE 1]^1234 HOWARD ST.
668^STREET ADDRESS [LINE 2]^
668^STREET ADDRESS [LINE 3]^
668^CITY [RESIDENCE]^LA JOLLA
668^STATE [RESIDENCE]^CALIFORNIA^CA
668^ZIP+4 [RESIDENCE]^92038
668^PHONE NUMBER [RESIDENCE]^(760)222-5555
668^POW STATUS INDICATED?^^
668^MULTIPLE BIRTH INDICATOR^^
668^ALIAS^1^~~~~~
668^RACE INFORMATION^1^^~
668^ETHNICITY INFORMATION^1^^~
668^SITE ASSOCIATION^1^^~~~~
756^FACILITY ID^EL PASO VA HCS^756
756^INTEGRATION CONTROL NUMBER^1017237188V293031
756^DFN^83704
756^SOURCE ID TYPE^Patient internal identifier^PI
756^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
756^SURNAME^CHDRZZZTESTPATIENT
756^FIRST NAME^CHDRONE
756^MIDDLE NAME^ALLEN
756^NAME PREFIX^
756^NAME SUFFIX^
756^MOTHERS MAIDEN NAME^
756^DATE OF BIRTH^MAR 03, 1960
756^PLACE OF BIRTH CITY^
756^PLACE OF BIRTH STATE^^
756^DATE OF DEATH^
756^GENDER^MALE^M
756^SOCIAL SECURITY NUMBER^666000001
756^SSN VERIFICATION STATUS^^
756^PSEUDO SSN REASON^^
756^CLAIM NUMBER^
756^DATE LAST TREATED^
756^ADT/HL7 EVENT REASON^^
756^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@07:29:42
756^POTENTIAL CAT EDIT STATUS^^
756^CORRELATION DATE LAST UPDATED^SEP 27, 2011@08:29:42
756^ROI SIGNED INDICATOR^^
756^IDENTIFIER STATUS^^
756^LEVEL OF ASSURANCE^^
756^MARITAL STATUS^MARRIED^M
756^STREET ADDRESS [LINE 1]^1234 HOWARD ST.
756^STREET ADDRESS [LINE 2]^
756^STREET ADDRESS [LINE 3]^
756^CITY [RESIDENCE]^LA JOLLA
756^STATE [RESIDENCE]^CALIFORNIA^CA
756^ZIP+4 [RESIDENCE]^92038
756^PHONE NUMBER [RESIDENCE]^
756^POW STATUS INDICATED?^^
756^MULTIPLE BIRTH INDICATOR^^
756^ALIAS^1^~~~~~
756^RACE INFORMATION^1^^~
756^ETHNICITY INFORMATION^1^^~
756^SITE ASSOCIATION^1^HDR (Available Soon)^200HD~~~~
200^FACILITY ID^AUSTIN INFORMATION TECH CTR^200
200^INTEGRATION CONTROL NUMBER^1017237188V293031
200^DFN^1834520
200^SOURCE ID TYPE^Patient internal identifier^PI
200^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
200^SURNAME^CHDRZZZTESTPATIENT
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200^MIDDLE NAME^ALLEN
200^NAME PREFIX^
200^NAME SUFFIX^
200^MOTHERS MAIDEN NAME^
200^DATE OF BIRTH^MAR 03, 1960
200^PLACE OF BIRTH CITY^
200^PLACE OF BIRTH STATE^^
200^DATE OF DEATH^
200^GENDER^MALE^M
200^SOCIAL SECURITY NUMBER^666000001
200^SSN VERIFICATION STATUS^^
200^PSEUDO SSN REASON^^
200^CLAIM NUMBER^
200^DATE LAST TREATED^
200^ADT/HL7 EVENT REASON^^
200^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@09:29:41
200^POTENTIAL CAT EDIT STATUS^^
200^CORRELATION DATE LAST UPDATED^SEP 27, 2011@08:29:44
200^ROI SIGNED INDICATOR^^
200^IDENTIFIER STATUS^^
200^LEVEL OF ASSURANCE^^
200^MARITAL STATUS^^
200^STREET ADDRESS [LINE 1]^
200^STREET ADDRESS [LINE 2]^
200^STREET ADDRESS [LINE 3]^
200^CITY [RESIDENCE]^
200^STATE [RESIDENCE]^^
200^ZIP+4 [RESIDENCE]^
200^PHONE NUMBER [RESIDENCE]^
200^POW STATUS INDICATED?^^
200^MULTIPLE BIRTH INDICATOR^^
200^ALIAS^1^~~~~~
200^RACE INFORMATION^1^^~
200^ETHNICITY INFORMATION^1^^~
200^SITE ASSOCIATION^1^^~~~~
200HD^FACILITY ID^HDR (Available Soon)^200HD
200HD^INTEGRATION CONTROL NUMBER^1017237188V293031
200HD^DFN^0011223322
200HD^SOURCE ID TYPE^Patient internal identifier^PI
200HD^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
200HD^SURNAME^CHDRZZZTESTPATIENT
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200HD^NAME PREFIX^
200HD^NAME SUFFIX^
200HD^MOTHERS MAIDEN NAME^
200HD^DATE OF BIRTH^MAR 03, 1960
200HD^PLACE OF BIRTH CITY^
200HD^PLACE OF BIRTH STATE^^
200HD^DATE OF DEATH^
200HD^GENDER^MALE^M
200HD^SOCIAL SECURITY NUMBER^
200HD^SSN VERIFICATION STATUS^^
200HD^PSEUDO SSN REASON^^
200HD^CLAIM NUMBER^
200HD^DATE LAST TREATED^
200HD^ADT/HL7 EVENT REASON^^
200HD^DATE OF LAST UPDATE MESSAGE^JUN 21, 2006@16:39:04
200HD^POTENTIAL CAT EDIT STATUS^^
200HD^CORRELATION DATE LAST UPDATED^JUN 02, 2010@13:18:20
200HD^ROI SIGNED INDICATOR^^
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200HD^STREET ADDRESS [LINE 1]^
200HD^STREET ADDRESS [LINE 2]^
200HD^STREET ADDRESS [LINE 3]^
200HD^CITY [RESIDENCE]^
200HD^STATE [RESIDENCE]^^
200HD^ZIP+4 [RESIDENCE]^
200HD^PHONE NUMBER [RESIDENCE]^
200HD^POW STATUS INDICATED?^^
200HD^MULTIPLE BIRTH INDICATOR^^
200HD^ALIAS^1^~~~~~
200HD^RACE INFORMATION^1^^~
200HD^ETHNICITY INFORMATION^1^^~
200HD^SITE ASSOCIATION^1^^~~~~
200PS^FACILITY ID^AUSTIN PSIM^200PS
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200PS^DFN^
200PS^SOURCE ID TYPE^Patient internal identifier^PI
200PS^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
200PS^SURNAME^
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200PS^NAME PREFIX^
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200PS^MOTHERS MAIDEN NAME^
200PS^DATE OF BIRTH^
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200PS^PLACE OF BIRTH STATE^^
200PS^DATE OF DEATH^
200PS^GENDER^^
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200PS^CLAIM NUMBER^
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200PS^ADT/HL7 EVENT REASON^^
200PS^DATE OF LAST UPDATE MESSAGE^
200PS^POTENTIAL CAT EDIT STATUS^^
200PS^CORRELATION DATE LAST UPDATED^FEB 17, 2011@13:02:25
200PS^ROI SIGNED INDICATOR^^
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200PS^STREET ADDRESS [LINE 1]^
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200PS^STREET ADDRESS [LINE 3]^
200PS^CITY [RESIDENCE]^
200PS^STATE [RESIDENCE]^^
200PS^ZIP+4 [RESIDENCE]^
200PS^PHONE NUMBER [RESIDENCE]^
200PS^POW STATUS INDICATED?^^
200PS^MULTIPLE BIRTH INDICATOR^^
200PS^ALIAS^1^~~~~~
200PS^RACE INFORMATION^1^^~
200PS^ETHNICITY INFORMATION^1^^~
200PS^SITE ASSOCIATION^1^^~~~~
200ESR^FACILITY ID^ENROLLMENT SYSTEM REDESIGN^200ESR
200ESR^INTEGRATION CONTROL NUMBER^1017237188V293031
200ESR^DFN^1017237188V293031
200ESR^SOURCE ID TYPE^Patient internal identifier^PI
200ESR^ASSIGNING AUTHORITY^1^USVHA^2.16.840.1.113883.4.349
200ESR^SURNAME^CHDRZZZTESTPATIENT
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200ESR^MIDDLE NAME^ALLEN
200ESR^NAME PREFIX^
200ESR^NAME SUFFIX^
200ESR^MOTHERS MAIDEN NAME^
200ESR^DATE OF BIRTH^MAR 03, 1960
200ESR^PLACE OF BIRTH CITY^
200ESR^PLACE OF BIRTH STATE^^
200ESR^DATE OF DEATH^
200ESR^GENDER^MALE^M
200ESR^SOCIAL SECURITY NUMBER^666000001
200ESR^SSN VERIFICATION STATUS^^
200ESR^PSEUDO SSN REASON^^
200ESR^CLAIM NUMBER^
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200ESR^ADT/HL7 EVENT REASON^^
200ESR^DATE OF LAST UPDATE MESSAGE^DEC 09, 2009@14:38:11
200ESR^POTENTIAL CAT EDIT STATUS^^
200ESR^CORRELATION DATE LAST UPDATED^JUN 02, 2010@13:18:18
200ESR^ROI SIGNED INDICATOR^^
200ESR^IDENTIFIER STATUS^^
200ESR^LEVEL OF ASSURANCE^^
200ESR^MARITAL STATUS^^
200ESR^STREET ADDRESS [LINE 1]^
200ESR^STREET ADDRESS [LINE 2]^
200ESR^STREET ADDRESS [LINE 3]^
200ESR^CITY [RESIDENCE]^
200ESR^STATE [RESIDENCE]^^
200ESR^ZIP+4 [RESIDENCE]^
200ESR^PHONE NUMBER [RESIDENCE]^
200ESR^POW STATUS INDICATED?^^
200ESR^MULTIPLE BIRTH INDICATOR^NO^N
200ESR^ALIAS^1^~~~~~
200ESR^RACE INFORMATION^1^^~
200ESR^ETHNICITY INFORMATION^1^^~
200ESR^SITE ASSOCIATION^1^^~~~~
200DOD^FACILITY ID^DEPARTMENT OF DEFENSE DEERS^200DOD
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200DOD^SOURCE ID TYPE^National unique individual identifier^NI
200DOD^ASSIGNING AUTHORITY^3^USDOD^2.16.840.1.113883.3.42.10001.100001.12
200DOD^SURNAME^CHDRZZZTESTPATIENT
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200DOD^NAME SUFFIX^
200DOD^MOTHERS MAIDEN NAME^
200DOD^DATE OF BIRTH^MAR 03, 1960
200DOD^PLACE OF BIRTH CITY^
200DOD^PLACE OF BIRTH STATE^^
200DOD^DATE OF DEATH^
200DOD^GENDER^MALE^M
200DOD^SOCIAL SECURITY NUMBER^666000001
200DOD^SSN VERIFICATION STATUS^^
200DOD^PSEUDO SSN REASON^^
200DOD^CLAIM NUMBER^
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200DOD^ADT/HL7 EVENT REASON^^
200DOD^DATE OF LAST UPDATE MESSAGE^SEP 17, 2011@08:04:53
200DOD^POTENTIAL CAT EDIT STATUS^^
200DOD^CORRELATION DATE LAST UPDATED^SEP 17, 2011@08:06:03
200DOD^ROI SIGNED INDICATOR^^
200DOD^IDENTIFIER STATUS^^
200DOD^LEVEL OF ASSURANCE^^
200DOD^MARITAL STATUS^^
200DOD^STREET ADDRESS [LINE 1]^
200DOD^STREET ADDRESS [LINE 2]^
200DOD^STREET ADDRESS [LINE 3]^
200DOD^CITY [RESIDENCE]^
200DOD^STATE [RESIDENCE]^^
200DOD^ZIP+4 [RESIDENCE]^
200DOD^PHONE NUMBER [RESIDENCE]^
200DOD^POW STATUS INDICATED?^^
200DOD^MULTIPLE BIRTH INDICATOR^^
200DOD^ALIAS^1^~~~~~
200DOD^RACE INFORMATION^1^^~
200DOD^ETHNICITY INFORMATION^1^^~
200DOD^SITE ASSOCIATION^1^^~~~~
200NKP^FACILITY ID^NHIN EXC KAISER PERMANENTE^200NKP
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200NKP^SOURCE ID TYPE^National unique individual identifier^NI
200NKP^ASSIGNING AUTHORITY^2^^1.3.6.1.4.1.26580
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200NKP^NAME SUFFIX^
200NKP^MOTHERS MAIDEN NAME^
200NKP^DATE OF BIRTH^MAR 03, 1960
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200NKP^PLACE OF BIRTH STATE^^
200NKP^DATE OF DEATH^
200NKP^GENDER^MALE^M
200NKP^SOCIAL SECURITY NUMBER^
200NKP^SSN VERIFICATION STATUS^^
200NKP^PSEUDO SSN REASON^^
200NKP^CLAIM NUMBER^
200NKP^DATE LAST TREATED^
200NKP^ADT/HL7 EVENT REASON^^
200NKP^DATE OF LAST UPDATE MESSAGE^DEC 30, 2011@16:43:55
200NKP^POTENTIAL CAT EDIT STATUS^^
200NKP^CORRELATION DATE LAST UPDATED^DEC 30, 2011@16:44:12
200NKP^ROI SIGNED INDICATOR^^
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200NKP^STREET ADDRESS [LINE 2]^
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200NKP^ZIP+4 [RESIDENCE]^92038
200NKP^PHONE NUMBER [RESIDENCE]^
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200NKP^MULTIPLE BIRTH INDICATOR^^
200NKP^ALIAS^1^~~~~~
200NKP^RACE INFORMATION^1^^~
200NKP^ETHNICITY INFORMATION^1^^~
200NKP^SITE ASSOCIATION^1^^~~~~
200NMV^FACILITY ID^NATL HTLH NETWRK EXCHG MEDVA^200NMV
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200NMV^SOURCE ID TYPE^National unique individual identifier^NI
200NMV^ASSIGNING AUTHORITY^6^^2.16.840.1.113883.3.190.8.100.1
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200NMV^MIDDLE NAME^ALLEN
200NMV^NAME PREFIX^
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200NNC^GENDER^MALE^M
200NNC^SOCIAL SECURITY NUMBER^666000001
200NNC^SSN VERIFICATION STATUS^^
200NNC^PSEUDO SSN REASON^^
200NNC^CLAIM NUMBER^
200NNC^DATE LAST TREATED^
200NNC^ADT/HL7 EVENT REASON^^
200NNC^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@11:30:12
200NNC^POTENTIAL CAT EDIT STATUS^^
200NNC^CORRELATION DATE LAST UPDATED^SEP 27, 2011@11:31:34
200NNC^ROI SIGNED INDICATOR^^
200NNC^IDENTIFIER STATUS^^
200NNC^LEVEL OF ASSURANCE^^
200NNC^MARITAL STATUS^^
200NNC^STREET ADDRESS [LINE 1]^
200NNC^STREET ADDRESS [LINE 2]^
200NNC^STREET ADDRESS [LINE 3]^
200NNC^CITY [RESIDENCE]^
200NNC^STATE [RESIDENCE]^^
200NNC^ZIP+4 [RESIDENCE]^
200NNC^PHONE NUMBER [RESIDENCE]^
200NNC^POW STATUS INDICATED?^^
200NNC^MULTIPLE BIRTH INDICATOR^^
200NNC^ALIAS^1^~~~~~
200NNC^RACE INFORMATION^1^^~
200NNC^ETHNICITY INFORMATION^1^^~
200NNC^SITE ASSOCIATION^1^^~~~~
200NNC^FACILITY ID^NHIN EXCHNG NC HLTH INFO NET^200NNC
200NNC^INTEGRATION CONTROL NUMBER^1017237188V293031
200NNC^DFN^7f898352-9cd3-45ad-a452-bac5863944a4
200NNC^SOURCE ID TYPE^National unique individual identifier^NI
200NNC^ASSIGNING AUTHORITY^10^^2.16.840.1.113883.3.488.2
200NNC^SURNAME^CHDRZZZTESTPATIENT
200NNC^FIRST NAME^CHDRONE
200NNC^MIDDLE NAME^ALLEN
200NNC^NAME PREFIX^
200NNC^NAME SUFFIX^
200NNC^MOTHERS MAIDEN NAME^
200NNC^DATE OF BIRTH^MAR 03, 1960
200NNC^PLACE OF BIRTH CITY^
200NNC^PLACE OF BIRTH STATE^^
200NNC^DATE OF DEATH^
200NNC^GENDER^MALE^M
200NNC^SOCIAL SECURITY NUMBER^666000001
200NNC^SSN VERIFICATION STATUS^^
200NNC^PSEUDO SSN REASON^^
200NNC^CLAIM NUMBER^
200NNC^DATE LAST TREATED^
200NNC^ADT/HL7 EVENT REASON^^
200NNC^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@11:34:08
200NNC^POTENTIAL CAT EDIT STATUS^^
200NNC^CORRELATION DATE LAST UPDATED^SEP 27, 2011@11:35:28
200NNC^ROI SIGNED INDICATOR^^
200NNC^IDENTIFIER STATUS^^
200NNC^LEVEL OF ASSURANCE^^
200NNC^MARITAL STATUS^^
200NNC^STREET ADDRESS [LINE 1]^
200NNC^STREET ADDRESS [LINE 2]^
200NNC^STREET ADDRESS [LINE 3]^
200NNC^CITY [RESIDENCE]^
200NNC^STATE [RESIDENCE]^^
200NNC^ZIP+4 [RESIDENCE]^
200NNC^PHONE NUMBER [RESIDENCE]^
200NNC^POW STATUS INDICATED?^^
200NNC^MULTIPLE BIRTH INDICATOR^^
200NNC^ALIAS^1^~~~~~
200NNC^RACE INFORMATION^1^^~
200NNC^ETHNICITY INFORMATION^1^^~
200NNC^SITE ASSOCIATION^1^^~~~~
200NNC^FACILITY ID^NHIN EXCHNG NC HLTH INFO NET^200NNC
200NNC^INTEGRATION CONTROL NUMBER^1017237188V293031
200NNC^DFN^5424eccc-c716-42dc-a30b-a9b1e0ffc83b
200NNC^SOURCE ID TYPE^National unique individual identifier^NI
200NNC^ASSIGNING AUTHORITY^10^^2.16.840.1.113883.3.488.2
200NNC^SURNAME^CHDRZZZTESTPATIENT
200NNC^FIRST NAME^CHDRONE
200NNC^MIDDLE NAME^ALLEN
200NNC^NAME PREFIX^
200NNC^NAME SUFFIX^
200NNC^MOTHERS MAIDEN NAME^
200NNC^DATE OF BIRTH^MAR 03, 1960
200NNC^PLACE OF BIRTH CITY^
200NNC^PLACE OF BIRTH STATE^^
200NNC^DATE OF DEATH^
200NNC^GENDER^MALE^M
200NNC^SOCIAL SECURITY NUMBER^666000001
200NNC^SSN VERIFICATION STATUS^^
200NNC^PSEUDO SSN REASON^^
200NNC^CLAIM NUMBER^
200NNC^DATE LAST TREATED^
200NNC^ADT/HL7 EVENT REASON^^
200NNC^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@14:16:07
200NNC^POTENTIAL CAT EDIT STATUS^^
200NNC^CORRELATION DATE LAST UPDATED^SEP 27, 2011@14:16:33
200NNC^ROI SIGNED INDICATOR^^
200NNC^IDENTIFIER STATUS^^
200NNC^LEVEL OF ASSURANCE^^
200NNC^MARITAL STATUS^^
200NNC^STREET ADDRESS [LINE 1]^1234 Howard St.
200NNC^STREET ADDRESS [LINE 2]^
200NNC^STREET ADDRESS [LINE 3]^
200NNC^CITY [RESIDENCE]^LA JOLLA
200NNC^STATE [RESIDENCE]^CALIFORNIA^CA
200NNC^ZIP+4 [RESIDENCE]^92038
200NNC^PHONE NUMBER [RESIDENCE]^tel:760-222-5555
200NNC^POW STATUS INDICATED?^^
200NNC^MULTIPLE BIRTH INDICATOR^^
200NNC^ALIAS^1^~~~~~
200NNC^RACE INFORMATION^1^^~
200NNC^ETHNICITY INFORMATION^1^^~
200NNC^SITE ASSOCIATION^1^^~~~~
200NNC^FACILITY ID^NHIN EXCHNG NC HLTH INFO NET^200NNC
200NNC^INTEGRATION CONTROL NUMBER^1017237188V293031
200NNC^DFN^1405202
200NNC^SOURCE ID TYPE^National unique individual identifier^NI
200NNC^ASSIGNING AUTHORITY^10^^2.16.840.1.113883.3.488.2
200NNC^SURNAME^CHDRZZZTESTPATIENT
200NNC^FIRST NAME^CHDRONE
200NNC^MIDDLE NAME^ALLEN
200NNC^NAME PREFIX^
200NNC^NAME SUFFIX^
200NNC^MOTHERS MAIDEN NAME^
200NNC^DATE OF BIRTH^MAR 03, 1960
200NNC^PLACE OF BIRTH CITY^
200NNC^PLACE OF BIRTH STATE^^
200NNC^DATE OF DEATH^
200NNC^GENDER^MALE^M
200NNC^SOCIAL SECURITY NUMBER^666000001
200NNC^SSN VERIFICATION STATUS^^
200NNC^PSEUDO SSN REASON^^
200NNC^CLAIM NUMBER^
200NNC^DATE LAST TREATED^
200NNC^ADT/HL7 EVENT REASON^^
200NNC^DATE OF LAST UPDATE MESSAGE^SEP 27, 2011@14:27:50
200NNC^POTENTIAL CAT EDIT STATUS^^
200NNC^CORRELATION DATE LAST UPDATED^SEP 27, 2011@14:28:53
200NNC^ROI SIGNED INDICATOR^^
200NNC^IDENTIFIER STATUS^^
200NNC^LEVEL OF ASSURANCE^^
200NNC^MARITAL STATUS^^
200NNC^STREET ADDRESS [LINE 1]^1234 Howard St.
200NNC^STREET ADDRESS [LINE 2]^
200NNC^STREET ADDRESS [LINE 3]^
200NNC^CITY [RESIDENCE]^LA JOLLA
200NNC^STATE [RESIDENCE]^CALIFORNIA^CA
200NNC^ZIP+4 [RESIDENCE]^92038
200NNC^PHONE NUMBER [RESIDENCE]^tel:760-222-5555
200NNC^POW STATUS INDICATED?^^
200NNC^MULTIPLE BIRTH INDICATOR^^
200NNC^ALIAS^1^~~~~~
200NNC^RACE INFORMATION^1^^~
200NNC^ETHNICITY INFORMATION^1^^~
200NNC^SITE ASSOCIATION^1^^~~~~