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MSH|^~\&|DHRHEALTH|Doctors Hospital at Renaissance|txdshslabNBS^2.16.840.1.114222.4.1.181960.2^ISO|txdshslab^2.16.840.1.114222.4.1.181960^ISO|20231130123716||OML^O21^OML_O21|Q1284092494T18512201481300974|T|2.5.1||||||8859/1 | ||
PID|1||1300975^^^Doctors Hospital at Renaissance^MR||TEST^SCENERIO03BG^TWIN B^^^^CD:766|TEST|20230913120400|F^Female^HL70001||2076-8^Native Hawaiian or Other Pacific Islander^HL70005|3200 E ARMSTRONG AVE^^EDINBURG^TX^78542^US^Home^^""||||CD:151|||11052905^^^Doctors Hospital at Renaissance^AN^CD:17598964||||N||Y|2|""|""|""||N | ||
NK1|1|TEST^SCENERIO03|MTH^Mother^HL70063|3200 E ARMSTRONG AVE^^EDINBURG^TX^78542|^^PH^^^956^2223122||N^Next of Kin^HL70131|||||||||19861113|||||||||||||||||000-00-0000^^^ssn&2.16.840.1.113883.4.1&ISO^SS~123456789^^^txMCDmedIDadm&2.16.840.1.113883.4.446&ISO^MA | ||
ORC|NW|2801690164^HNAM_ORDERID||||||||||^^^^^^^^NPI&2.16.840.1.113883.4.6&ISO^L|||||||||Doctors Hospital at Renaissance^^^^^txdshslabNBS&2.16.840.1.114222.4.1.181960.2&ISO^FI^^^10859464 | ||
OBR|1|2801690164^HNAM_ORDERID||57128-1^Newborn Screening Panel AHIC^LN|||20231130123326|||2010346-006^Lopez^Martha^^L^^EI^^Doctors Hospital at Renaissance^^^^^""||||||^^^^^^^^NPI&2.16.840.1.113883.4.6&ISO^L|||000002023334000070|||||CD:692 | ||
OBX|1|CWE|67704-7^Feeding types^LN||LA16915-3^Lactose formula^LN||||||F|||20231130123326 | ||
OBX|2|CWE|57713-0^Infant NICU factors that affect newborn screening interpretation^LN|1|LA12420-8^Systemic antibiotics before newborn screening^LN||||||F|||20231130123326 | ||
OBX|3|CWE|57713-0^Infant NICU factors that affect newborn screening interpretation^LN|2|LA12417-4^Any blood product transfusion (including ECLS/ECMO)^LN||||||F|||20231130123326 | ||
OBX|4|ST|57723-9^Unique bar code number of Current sample^LN||230036312||||||F|||20231130123326 | ||
OBX|5|ST|CD:1923031955^Birth Order (if Multiple) 1-9^LN||1||||||F|||20231130123326 | ||
OBX|6|NM|8339-4^Birth Weight (g)^LN||3200|g|||||F|||20231130123326 | ||
OBX|7|NM|57714-8^Gestastional Age (wks)^LN||38|wk|||||F|||20231130123326 | ||
OBX|8|TX|62324-9^Provider Name Post Discharge (Last, Firs^LN||TEST, PROVIDER||||||F|||20231130123326 | ||
OBX|9|XTN|62328-0^Provider Phone NumberPost Discharge^LN||^^PH^^^956^6451234||||||F|||20231130123326 |
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Original file line number | Diff line number | Diff line change |
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@@ -0,0 +1,14 @@ | ||
MSH|^~\&|DHRHEALTH|Doctors Hospital at Renaissance|txdshslabNBS^2.16.840.1.114222.4.1.181960.2^ISO|txdshslab^2.16.840.1.114222.4.1.181960^ISO|20231130123716||OML^O21^OML_O21|Q1284092494T18512201481300974|T|2.5.1||||||8859/1 | ||
PID|1||1300974^^^Doctors Hospital at Renaissance^MR||TEST^SCENERIO03BG^TWIN A^^^^CD:766|TEST|20230913120400|F^Female^HL70001||2076-8^Native Hawaiian or Other Pacific Islander^HL70005~2028-9^American Indian or Alaska Native^HL70005|3200 E ARMSTRONG AVE^^EDINBURG^TX^78542^US^Home^^""||||CD:151|||11052905^^^Doctors Hospital at Renaissance^AN^CD:17598964||||N||N|1|""|""|""||N | ||
NK1|1|TEST^SCENERIO03|MTH^Mother^HL70063|3200 E ARMSTRONG AVE^^EDINBURG^TX^78542|^^PH^^^956^2223122||N^Next of Kin^HL70131|||||||||19861113|||||||||||||||||000-00-0000^^^ssn&2.16.840.1.113883.4.1&ISO^SS~123456789^^^txMCDmedIDadm&2.16.840.1.113883.4.446&ISO^MA | ||
ORC|NW|2801690163^HNAM_ORDERID||||||||||^^^^^^^^NPI&2.16.840.1.113883.4.6&ISO^L|||||||||Doctors Hospital at Renaissance^^^^^txdshslabNBS&2.16.840.1.114222.4.1.181960.2&ISO^FI^^^10859464 | ||
OBR|1|2801690163^HNAM_ORDERID||57128-1^Newborn Screening Panel AHIC^LN|||20231130123326|||2010346-006^Lopez^Martha^^L^^EI^^Doctors Hospital at Renaissance^^^^^""||||||^^^^^^^^NPI&2.16.840.1.113883.4.6&ISO^L|||000002023334000070|||||CD:692 | ||
OBX|1|CWE|67704-7^Feeding types^LN||LA16915-3^Lactose formula^LN||||||F|||20231130123326 | ||
OBX|2|CWE|57713-0^Infant NICU factors that affect newborn screening interpretation^LN|1|LA12420-8^Systemic antibiotics before newborn screening^LN||||||F|||20231130123326 | ||
OBX|3|CWE|57713-0^Infant NICU factors that affect newborn screening interpretation^LN|2|LA12417-4^Any blood product transfusion (including ECLS/ECMO)^LN||||||F|||20231130123326 | ||
OBX|4|ST|57723-9^Unique bar code number of Current sample^LN||230036312||||||F|||20231130123326 | ||
OBX|5|ST|CD:1923031955^Birth Order (if Multiple) 1-9^LN||1||||||F|||20231130123326 | ||
OBX|6|NM|8339-4^Birth Weight (g)^LN||3200|g|||||F|||20231130123326 | ||
OBX|7|NM|57714-8^Gestastional Age (wks)^LN||38|wk|||||F|||20231130123326 | ||
OBX|8|TX|62324-9^Provider Name Post Discharge (Last, Firs^LN||TEST, PROVIDER||||||F|||20231130123326 | ||
OBX|9|XTN|62328-0^Provider Phone NumberPost Discharge^LN||^^PH^^^956^6451234||||||F|||20231130123326 |