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MSH|^~\&|13^1.2.840.114350.1.13.286.2.7.2.695071^ISO|4169|Natus.LA.STAG^2.16.840.1.114222.4.3.26.3.2|Louisiana Office of Public Health Laboratory^automated-staging-test-receiver-id|20241113131917|012|OML^O21^OML_O21|29|N|2.5.1|||AL|NE | ||
PID|1|10453873^^^MRN^MRN|10453873^^^MRN^MRN||PKUSS^GIRL BEAKER||20241108103900|F||2054-5^Black or African-American^CDCREC|1202 COOLIDGE ST.^^LAFAYETTE^LA^70503^US^P^^LAFAYETTE|LAFAYETTE|(557)559-5559^P^PH||ENGLISH|Single|||000-00-0000||PKUSS^BEAKER^MOM^|HISPANIC||Y|1|||||N | ||
PD1||||1184608010^DREWITZ^TROY^U.^^^^^NPI^^^^NPI | ||
NK1|1|PKUSS^BEAKER^MOM^|Mother|1202 Coolidge St.^^LAFAYETTE^LA^70503^US|(557)559-5559^^PH | ||
PV1|1||^8288^24826^^^^^^^^||||||||||||||1184608010^DREWITZ^TROY^U.^^^^^NPI^^^^NPI | ||
IN1|1|114420|308114401|BLUE CROSS BLUE SHIELD|P. O. BOX 98029^^BATON ROUGE^LA^70898-9029^||(800)495-2583|||||||||PKUSS^GIRL^BEAKER^|Self|20241108|1202 COOLIDGE ST.^^LAFAYETTE^LA^70503^US^^^LAFAYETTE|||1||||||||||||||||||||None|F | ||
GT1|1|100251815|PKUSS^BEAKER^MOM^||1202 COOLIDGE ST.^^LAFAYETTE^LA^70503^US^^^LAFAYETTE|(557)559-5559^P^PH||19891224|F|P/F|MOT|999-99-9999||||||||Full | ||
ORC|NW|243217771^EPC||71414746|||^^^20241113131800^^Routine^^||20241113131721|739^BEAKER^PHLEBOTOMIST^^||1184608010^DREWITZ^TROY^U.^^^^^NPI^^^^NPI|^^^^^^^^OLGH LABOR AND DELIVERY|(504)391-8896||||OCH155315^OCH155315|||OCHSNER LAFAYETTE GENERAL MEDICAL HOSPITAL^D^^^^OCHSNER HEALTH SYSTEM^XX^^^30100|1214 COOLIDGE BLVD^^LAFAYETTE^LA^70503-2621^US^B^^LAFAYETTE|(337)289-7991^^PH|120 OCHSNER BLVD^SUITE 360^GRETNA^LA^70056^^C|||||I|VERBAL WITH | ||
OBR|1|243217771^EPC|1000319697^Beaker|54089-8^Newborn screening panel American Health Information Community (AHIC)^LN^^^^2.72||20241113131800|20241113131859|||739^BEAKER^PHLEBOTOMIST^^|Lab Collect|||||1184608010^DREWITZ^TROY^U.^^^^^NPI^^^^NPI|(504)391-8896|||193989||||Lab|||^^^20241113131800^^Routine^^|||||||||20241113131800 | ||
OBX|1|ST|57714-8^Gestational Age (Weeks + Days)||384||||||F|||20241113131719|||||||||||||||QST | ||
OBX|2|ST|82312-0^Infant Blood Transfusion?||No||||||F|||20241113131719|||||||||||||||QST | ||
OBX|3|ST|67704-7^All Feeding Since Birth||Human Milk \T\ Formula||||||F|||20241113131719|||||||||||||||QST | ||
OBX|4|ST|PLT3280^Name of Formula(s)||Enfomil, Similac, Katrina||||||F|||20241113131719|||||||||||||||QST | ||
SPM|1|^24LADH-318X0008&Beaker||BLOOD^Blood||||BLOOD^Blood|||||||||20241113131859|20241113131900||Y|||||||||||||||S |
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