View Parsed HL7 Message - Online HL7 Message Parser

Original Message

MSH|^~\&|Provation|SM|Repository|SM|20261025113044||ORU^R01|BC51039F7A8A4DB1B6E16B758AD171DA|P|2.3
PID|1||59074393^^^UCSF^MR||SMITH^MICHAEL||19610524|M||||||||||275086158^^^UCSF
PV1|1|I|SMHENDO^820^A||||131643^Lopez^Alejandro^^^^MD||||||||||||1927703|||||||||||||||||||||||||20261024000000
OBR|1|542655|542655|ExamEndo^Upper GI endoscopy^CMORECUI|||20261025103112|||||||||||||||20261025113044|||C||||||^Melena|131643&Lopez&Alejandro&&&&MD
OBX|1|TX|ExamEndo^Upper GI endoscopy^CMORECUI|1|UCSF Health Stanyan Hospital~Patient: SMITH, MICHAEL~MRN: 59074393~DOB: 5/24/1961~Account: 275086158~Procedure: Upper GI endoscopy~Date: 10/25/2026~Attending Physician: Alejandro Lopez , MD~Referring MD:~Indications:~       -  Melena~Medications:~       -  Monitored Anesthesia Care~       -  See the Anesthesia note for documentation of the administered~          medications~Complications:~       -  No immediate complications.~Estimated Blood Loss:~       -  Estimated blood loss was minimal.~Procedure:~       -  Prior to the procedure, a History and Physical was performed, and~          patient medications, allergies and sensitivities were reviewed.  The~          patient's tolerance of previous anesthesia was reviewed.~       -  The risks and benefits of the procedure and the sedation options~          and risks were discussed with the patient. All questions were~          answered and informed consent was obtained.~       - The 4639 was introduced through the mouth and advanced to the~          second part of the duodenum.~       -  The patient tolerated the procedure well.~Findings:~       -  Linear ulcerations with esophagitis liekly at the site of~          previous resection esophagitis with no bleeding was found 35 cm from~          the incisors.~       -  One non-bleeding cratered gastric ulcer with a visible vessel was~          found in the gastric body.  The lesion was 25 mm in largest~          dimension.  For hemostasis, a single application of Purastat was~          used.  There was no bleeding at the end of the procedure.~       -  The examined duodenum was normal.~Impression:~       -  Linear ulcerations with esophagitis liekly at the site of~          previous resection esophagitis with no bleeding.~       -  Non-bleeding gastric ulcer with a visible vessel.  There is no~          evidence of perforation. Hemostatic topical agent applied.~       - Ulcer was large and fibrotic so unable to apply hemostatic clip~          and size as too large for over the scope clip. Applied Purastat~          liberally~       -  Normal examined duodenum.~       -  No specimens collected.~Recommendation:~       - Continue ppi bid x 8 weeks~       - Clear liquid diet today, can advance tomorrow if CBC stable~       - Repeat EGD in 8-12 weeks to assess for healing and underlying~          malignancy~       - Send H pylori IgG and treat if positive~Procedure Code(s):~       - 43255, Esophagogastroduodenoscopy, flexible, transoral; with~          control of bleeding, any method~Diagnosis Code(s):~       - K92.1, Melena (includes Hematochezia)~       - K20.90, Esophagitis, unspecified without bleeding~       - K25.4, Chronic or unspecified gastric ulcer with hemorrhage~CPT(R) - 2025 copyright American Medical Association. All Rights Reserved.~      The CPT codes, CCI edits and ICD codes generated are intended as~      suggestions and were generated based on input data.  These codes are~      preliminary and upon coder review may be revised to meet current~      compliance and payer requirements.  The provider is responsible for~      the final determination of appropriate codes, and modifiers.~Attending Participation:~       -  I personally performed the entire procedure.~Scope In Time:       10:34:05 AM~Scope Out Time:       11:00:26 AM~Total Procedure Duration:       00:26:21~Alejandro Lopez~Alejandro Lopez, MD~This document has been electronically signed.~Note Initiated:10/25/2026~Note Completed:10/25/2026 11:18 AM~Alejandro Lopez~Alejandro Lopez, MD~This document has been electronically signed.~Note Amended:10/25/2026 11:30 AM||||||C|||20261025103112

Parsed Message

ORU_R01

|^~\&ProvationSMRepositorySM20261025113044ORUR01BC51039F7A8A4DB1B6E16B758AD171DAP2.3159074393UCSFMRSMITHMICHAEL19610524M275086158UCSF1ISMHENDO820A131643LopezAlejandroMD1927703202610240000001542655542655ExamEndoUpper GI endoscopyCMORECUI2026102510311220261025113044CMelena131643LopezAlejandroMD1TXExamEndoUpper GI endoscopyCMORECUI1UCSF Health Stanyan HospitalPatient: SMITH, MICHAELMRN: 59074393DOB: 5/24/1961Account: 275086158Procedure: Upper GI endoscopyDate: 10/25/2026Attending Physician: Alejandro Lopez , MDReferring MD:Indications:- MelenaMedications:- Monitored Anesthesia Care- See the Anesthesia note for documentation of the administeredmedicationsComplications:- No immediate complications.Estimated Blood Loss:- Estimated blood loss was minimal.Procedure:- Prior to the procedure, a History and Physical was performed, andpatient medications, allergies and sensitivities were reviewed. Thepatient's tolerance of previous anesthesia was reviewed.- The risks and benefits of the procedure and the sedation optionsand risks were discussed with the patient. All questions wereanswered and informed consent was obtained.- The 4639 was introduced through the mouth and advanced to thesecond part of the duodenum.- The patient tolerated the procedure well.Findings:- Linear ulcerations with esophagitis liekly at the site ofprevious resection esophagitis with no bleeding was found 35 cm fromthe incisors.- One non-bleeding cratered gastric ulcer with a visible vessel wasfound in the gastric body. The lesion was 25 mm in largestdimension. For hemostasis, a single application of Purastat wasused. There was no bleeding at the end of the procedure.- The examined duodenum was normal.Impression:- Linear ulcerations with esophagitis liekly at the site ofprevious resection esophagitis with no bleeding.- Non-bleeding gastric ulcer with a visible vessel. There is noevidence of perforation. Hemostatic topical agent applied.- Ulcer was large and fibrotic so unable to apply hemostatic clipand size as too large for over the scope clip. Applied Purastatliberally- Normal examined duodenum.- No specimens collected.Recommendation:- Continue ppi bid x 8 weeks- Clear liquid diet today, can advance tomorrow if CBC stable- Repeat EGD in 8-12 weeks to assess for healing and underlyingmalignancy- Send H pylori IgG and treat if positiveProcedure Code(s):- 43255, Esophagogastroduodenoscopy, flexible, transoral; withcontrol of bleeding, any methodDiagnosis Code(s):- K92.1, Melena (includes Hematochezia)- K20.90, Esophagitis, unspecified without bleeding- K25.4, Chronic or unspecified gastric ulcer with hemorrhageCPT(R) - 2025 copyright American Medical Association. All Rights Reserved.The CPT codes, CCI edits and ICD codes generated are intended assuggestions and were generated based on input data. These codes arepreliminary and upon coder review may be revised to meet currentcompliance and payer requirements. The provider is responsible forthe final determination of appropriate codes, and modifiers.Attending Participation:- I personally performed the entire procedure.Scope In Time: 10:34:05 AMScope Out Time: 11:00:26 AMTotal Procedure Duration: 00:26:21Alejandro LopezAlejandro Lopez, MDThis document has been electronically signed.Note Initiated:10/25/2026Note Completed:10/25/2026 11:18 AMAlejandro LopezAlejandro Lopez, MDThis document has been electronically signed.Note Amended:10/25/2026 11:30 AMC20261025103112

Parsed HL7v2 Message

Original Message

Parsed Message