View Parsed HL7 Message - Online HL7 Message Parser

Parsed HL7v2 Message

Original Message

MSH|^~\&|UNIV_MO|UNIV_MO^2.16.840.1.113883.3.566.371^ISO|||20260308191256||ADT^A07^ADT_A06|Q4213139276T5589405239X424598||2.8.1|||AL|NE||8859/1||||JC Capital Region Medical Center - Jefferson City^D^1699769901^^^NPI^NPI
EVN||20260308191255|||706365^Douglas^Kelly^Marie^^MD^^^Physician # - Master Doctor Master^^^^COMMUNITY DR NBR^IDX^^^^^^^MD~706365^Douglas^Kelly^Marie^^MD^^^University HSC (external identifier)^Personnel^^^External Identifier^IDX^^^^^^^MD~1366889909^Douglas^Kelly^Marie^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^MD~10273573^Douglas^Kelly^Marie^^MD^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID^^^^^^^^MD~6882663837011^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837015^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~FD0264957^Douglas^Kelly^Marie^^MD^^^^Personnel^^^DOCDEA^^^^^^^^MD~6882663837014^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837016^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837018^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837019^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837020^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837024^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD
PID|1||10361852^^^CRMC MRN&2.16.840.1.113883.3.547.2000&ISO^MRN^HX_CRMC_DEMO_SYS^20210527010344~17498428^^^MU MRN&2.16.840.1.113883.3.566.5000&ISO^MRN^MU_FIN^20200605170145||SMITH^STEVE^R^^^^CURRENT^^^^^20200605170145||19530524|M^MALE^CHUBADT||WHITE^WHITE^CHUBADT|||||ENGLISH^ENGLISH^CHUBADT|MARRIED^MARRIED^CHUBADT|METHODIST^METHODIST^CHUBADT|74879861^^^MU FIN NBR&2.16.840.1.113883.3.566.2000&ISO^FIN NBR||||NOT HISPANIC, LATINO, OR SPANISH ORIGIN^NOT HISPANIC, LATINO, OR SPANISH ORIGIN^CHUBADT|||||||||||||HUMAN^HUMAN^CHUBADT|||||^HOME^EMAIL^SSMTHBGGY2@GMAIL.COM^^^^^^^^^20231214153950~^HOME^TEL^^^573^9526011^^^^^^20200605191939^^^^^1~^ALTERNATE/DAY^TEL^^^573^5072031^^^^^^20230608182545~^MOBILE^TEL^^^573^9526011^^^^^^20230608182545
PRT||SNAPSHOT||IP^Informed Provider^CHUBADT|1003875360^Schneider^Thomas^W^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX||||||20240929221816||||^Business^^^^573^5561703^^^^^^20140915050000~^Fax Business^^^^573^7614351^^^^^^20140915050000~^DSM^^thomas.schneider@jcmg.eclinicaldirectplus.com^^^^^EAB
PRT||SNAPSHOT||IP^Informed Provider^CHUBADT|1710981444^Adams^John^G^Jr^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^MD||||||20260307182119||||^Business^^^^573^4438773^^^^^^20121203060000~^Fax Business^^^^573^4436843^^^^^^20121203060000~^DSM^^jadams91611@direct-ehr-ssmhc.com^^^^^EAB
PRT||SNAPSHOT||IP^Informed Provider^CHUBADT|1376563510^Shoemaker-Moyle^Michael^Sean^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^MD||||||20240929221816||||^Business^^^^^^^^^^5738828788^20160627160524~^Fax Business^^^^^^^^^^5738843131^20160627160524~^Pager Bus^^^^573^7717243^0350^^^^^20191007201848~^DSM^^shoemakermoylem@direct.health.missouri.edu^^^^^PHONE
PRT||SNAPSHOT||Primary Care Physician^Primary Care Physician^CHUBADT|1003875360^Schneider^Thomas^W^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX||||||20200605191939||||^Business^^^^573^5561703^^^^^^20140915050000~^Fax Business^^^^573^7614351^^^^^^20140915050000~^DSM^^thomas.schneider@jcmg.eclinicaldirectplus.com^^^^^EAB
PV1|1|Observation^Observation^CHUBADT|JC EDH^08H^A^JC Capital Region Medical Center^^Bed(s)^JC Capital Region Medical Center|Emergency^Emergency^CHUBADT||JC ED^08^A^JC Capital Region Medical Center^^A^JC Capital Region Medical Center|1003875360^Schneider^Thomas^W^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX|||JC Hospitalist^JC Hospitalist^CHUBADT||||Non-HC Facility/Home^Non-HC Facility/Home^CHUBADT|||1366889909^Douglas^Kelly^Marie^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^MD|Observation^Observation^CHUBADT||Managed Medicare&Managed Medicare&CHUBADT|||||||||||||||||||JC Capital Region Medical Center^JC Capital Region Medical Center^CHUBADT||Active^Active^CHUBADT|||20260308161825
PV2||OBSERVATION^OBSERVATION^CHUBADT|^AMS||||||||||||||||||Yes^Yes^CHUBADT||JC Capital Region Medical Center - Jefferson City^^^^^Company Code^Company Code^^^99999~JC Capital Region Medical Center - Jefferson City^^^^^CRMC Client Code for POC^Client Code^^^JI1~JC Capital Region Medical Center - Jefferson City^^^^^National Provider Identifier-Org^National Provider Identifier^^^1699769901
PRT||SNAPSHOT||Admitting Physician^Admitting Physician^CHUBADT|1366889909^Douglas^Kelly^Marie^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^MD||||||20260308191255||||^Business^^^^573^8828091^^^^^^20140604050000~^Business^^^^573^8840036^^^^^^20230403175903~^Business^Tel^^^573^8844400^^^^^^20250909205703~^Fax Business^^^^573^8841902^^^^^^20140604050000~^Fax Business^^^^573^8841063^^^^^^20230403175903~^Fax Business^^^^573^8845994^^^^^^20250909205722~^DSM^^MONAHANKM@direct.health.missouri.edu^^^^^PHONE
PRT||SNAPSHOT||Attending Physician^Attending Physician^CHUBADT|1003875360^Schneider^Thomas^W^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX||||||20260308191255||||^Business^^^^573^5561703^^^^^^20140915050000~^Fax Business^^^^573^7614351^^^^^^20140915050000~^DSM^^thomas.schneider@jcmg.eclinicaldirectplus.com^^^^^EAB
PRT||SNAPSHOT||Care Delivery^Care Delivery^CHUBADT|20021^Geiser^Lauren^B^^^^^PERSONNEL PRIMARY IDENTIFIER^Personnel^^^Personnel Primary Identifier~14462072^Geiser^Lauren^B^^^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID||||||20260308184300
PRT||SNAPSHOT||Care Delivery^Care Delivery^CHUBADT|21177^Combs^Kyla^J^^CTA-C^^^PERSONNEL PRIMARY IDENTIFIER^Personnel^^^Personnel Primary Identifier~10317189^Combs^Kyla^J^^CTA-C^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID||||||20260308182700
PRT||SNAPSHOT||Care Delivery^Care Delivery^CHUBADT|29034^Schreck^Jace^C^^CTA-C^^^PERSONNEL PRIMARY IDENTIFIER^Personnel^^^Personnel Primary Identifier~10324814^Schreck^Jace^C^^CTA-C^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID||||||20260308165100
PRT||SNAPSHOT||Care Delivery^Care Delivery^CHUBADT|706365^Douglas^Kelly^Marie^^MD^^^Physician # - Master Doctor Master^Personnel^^^COMMUNITY DR NBR^IDX^^^^^^^MD~706365^Douglas^Kelly^Marie^^MD^^^University HSC (external identifier)^Personnel^^^External Identifier^IDX^^^^^^^MD~1366889909^Douglas^Kelly^Marie^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^MD~10273573^Douglas^Kelly^Marie^^MD^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID^^^^^^^^MD~6882663837011^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837015^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~FD0264957^Douglas^Kelly^Marie^^MD^^^^Personnel^^^DOCDEA^^^^^^^^MD~6882663837014^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837016^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837018^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837019^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837020^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837024^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD||||||20260308165000||||^Business^^^^573^8828091^^^^^^20140604050000~^Business^^^^573^8840036^^^^^^20230403175903~^Business^Tel^^^573^8844400^^^^^^20250909205703~^Fax Business^^^^573^8841902^^^^^^20140604050000~^Fax Business^^^^573^8841063^^^^^^20230403175903~^Fax Business^^^^573^8845994^^^^^^20250909205722~^DSM^^MONAHANKM@direct.health.missouri.edu^^^^^PHONE
PRT||SNAPSHOT||Care Delivery^Care Delivery^CHUBADT|25080^Morris^Jadyn^M^^CTAC^^^PERSONNEL PRIMARY IDENTIFIER^Personnel^^^Personnel Primary Identifier~10321174^Morris^Jadyn^M^^CTAC^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID||||||20260308164100
PRT||SNAPSHOT||Care Delivery^Care Delivery^CHUBADT|10273028^Hackmann^Payton^S^^FNP^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID^IDX^^^^^^^FNP~1295365823^Hackmann^Payton^S^^FNP^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^FNP~716052^Hackmann^Payton^S^^FNP^^^University HSC (external identifier)^Personnel^^^External Identifier^IDX^^^^^^^FNP~716052^Hackmann^Payton^S^^FNP^^^Physician # - Master Doctor Master^Personnel^^^COMMUNITY DR NBR^IDX^^^^^^^FNP~7521574152002^Hackmann^Payton^S^^FNP^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^FNP~MH7481310^Hackmann^Payton^S^^FNP^^^University HSC (DEA)^Personnel^^^DOCDEA^^^^^^^^FNP~7521574152004^Hackmann^Payton^S^^FNP^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^FNP~7521574152006^Hackmann^Payton^S^^FNP^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^FNP~7521574152008^Hackmann^Payton^S^^FNP^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^FNP~7521574152001^Hackmann^Payton^S^^FNP^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^FNP~7521574152010^Hackmann^Payton^S^^FNP^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^FNP||||||20260308163500||||^Business^^^^^^^^^^5738824908^20201117171126~^Business^^^^573^8826500^^^^^^20211123210148~^Business^^^^573^8821515^^^^^^20220915183925~^Fax Business^^^^^^^^^^5738845184^20201117171126~^Fax Business^^^^573^8844604^^^^^^20211123210148~^Fax Business^^^^573^8840070^^^^^^20220915183925~^Pager Bus^^^^573^7717243^^^^^^20210913200401~^DSM^^schoolerp@direct.health.missouri.edu^^^^^PHONE
PRT||SNAPSHOT||Care Delivery^Care Delivery^CHUBADT|40317^Ehmke^Jeffrey^S^^DO^^^University HSC (external identifier)^Personnel^^^External Identifier^IDX^^^^^^^DO~40317^Ehmke^Jeffrey^S^^DO^^^Physician # - Master Doctor Master^Personnel^^^COMMUNITY DR NBR^IDX^^^^^^^DO~H70736^Ehmke^Jeffrey^S^^DO^^^University HSC (Doc UPIN)^Personnel^^^DOCUPIN^IDX^^^^^^^DO~1780631978^Ehmke^Jeffrey^S^^DO^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^DO~BE7339509^Ehmke^Jeffrey^S^^DO^^^^Personnel^^^DOCDEA^^^^^^^^DO~6534101103005^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103009^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103008^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103010^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103011^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103016^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103017^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103019^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103012^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103013^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO~6534101103015^Ehmke^Jeffrey^S^^DO^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^DO||||||20260308161859||||^Business^Tel^^^573^6325000^^^^^^20121203060000~^Business^^^^573^8840036^^^^^^20230403175903~^Fax Business^^^^^^^^^^5736325977^20121203060000~^Fax Business^^^^573^8841063^^^^^^20230403175903~^DSM^^EHMKEJ@direct.health.missouri.edu^^^^^PHONE
PRT||SNAPSHOT||Clinical Instruction^Clinical Instruction^CHUBADT|705971^Gesling^James^Houston^^PA^^^Physician # - Master Doctor Master^Personnel^^^COMMUNITY DR NBR^IDX^^^^^^^PA~1588086474^Gesling^James^Houston^^PA^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^PA~705971^Gesling^James^Houston^^PA^^^University HSC (external identifier)^Personnel^^^External Identifier^IDX^^^^^^^PA~6756478049003^Gesling^James^Houston^^PA^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^PA~12155100^Gesling^James^Houston^^PA^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID^IDX^^^^^^^PA~MG6639605^Gesling^James^Houston^^PA^^^University HSC (DEA)^Personnel^^^DOCDEA^^^^^^^^PA~6756478049008^Gesling^James^Houston^^PA^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^PA~6756478049022^Gesling^James^Houston^^PA^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^PA~6756478049024^Gesling^James^Houston^^PA^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^PA~6756478049009^Gesling^James^Houston^^PA^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^PA~6756478049015^Gesling^James^Houston^^PA^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^PA~6756478049013^Gesling^James^Houston^^PA^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^PA~6756478049017^Gesling^James^Houston^^PA^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^PA||||||20260308162100||||^Business^Tel^^^^^^^^^5738828091^20140207060000~^Business^^^^660^8823421^^^^^^20230322201132~^Fax Business^^^^^^^^^^5738841902^20140207060000~^Fax Business^^^^573^8824096^^^^^^20230322201132~^Pager Bus^^^^573^7717243^0453^^^^^20180911215812~^DSM^^geslingj@direct.health.missouri.edu^^^^^PHONE
PRT||SNAPSHOT||ED Nurse^ED Nurse^CHUBADT|17124^Fick^Morgan^M^^RN^^^PERSONNEL PRIMARY IDENTIFIER^Personnel^^^Personnel Primary Identifier~10315990^Fick^Morgan^M^^RN^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID||||||20260308165300
PRT||SNAPSHOT||ED Nurse^ED Nurse^CHUBADT|10290080^Doerhoff^Krista^R^^RN^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID~24815^Doerhoff^Krista^R^^RN^^^PERSONNEL PRIMARY IDENTIFIER^Personnel^^^Personnel Primary Identifier||||||20260308164700
PRT||SNAPSHOT||ED Nurse^ED Nurse^CHUBADT|21406^Lindsey^Tiffany^X^^RN^^^PERSONNEL PRIMARY IDENTIFIER^Personnel^^^Personnel Primary Identifier~10316104^Lindsey^Tiffany^X^^RN^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID||||||20260308164500
PRT||SNAPSHOT||ED Nurse^ED Nurse^CHUBADT|26506^Sherman^Melissa^A^^RN^^^PERSONNEL PRIMARY IDENTIFIER^Personnel^^^Personnel Primary Identifier~10322236^Sherman^Melissa^A^^RN^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID||||||20260308162600
PRT||SNAPSHOT||Ordering Physician^Ordering Physician^CHUBADT|706365^Douglas^Kelly^Marie^^MD^^^Physician # - Master Doctor Master^Personnel^^^COMMUNITY DR NBR^IDX^^^^^^^MD~706365^Douglas^Kelly^Marie^^MD^^^University HSC (external identifier)^Personnel^^^External Identifier^IDX^^^^^^^MD~1366889909^Douglas^Kelly^Marie^^MD^^^National Provider Identifier&2.16.840.1.113883.4.6&ISO^Personnel^^^National Provider Identifier^IDX^^^^^^^MD~10273573^Douglas^Kelly^Marie^^MD^^^UMHS Personnel Badge ID^Personnel^^^Personnel Badge ID^^^^^^^^MD~6882663837011^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837015^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~FD0264957^Douglas^Kelly^Marie^^MD^^^^Personnel^^^DOCDEA^^^^^^^^MD~6882663837014^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837016^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837018^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837019^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837020^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD~6882663837024^Douglas^Kelly^Marie^^MD^^^Surescripts Prescriber ID^Personnel^^^SureScripts Prescriber Index^^^^^^^^MD||||||20260308175902||||^Business^^^^573^8828091^^^^^^20140604050000~^Business^^^^573^8840036^^^^^^20230403175903~^Business^Tel^^^573^8844400^^^^^^20250909205703~^Fax Business^^^^573^8841902^^^^^^20140604050000~^Fax Business^^^^573^8841063^^^^^^20230403175903~^Fax Business^^^^573^8845994^^^^^^20250909205722~^DSM^^MONAHANKM@direct.health.missouri.edu^^^^^PHONE
AL1|1|Drug^Drug^CHUBADT|##NOMEN##,AL1,ceStruct,allergy,13244242,34389264^No Known Medication Allergies^Cerner
AL1|2|Drug^Drug^CHUBADT|##NOMEN##,AL1,ceStruct,allergy,1360168,2819193^Septra^Multum Drug
AL1|3|Drug^Drug^CHUBADT|##NOMEN##,AL1,ceStruct,allergy,1360168,3042728^Cardizem CD^Multum Drug
DG1|1||##NOMEN##,DG1,ceStruct,diagnosis,191922231,36401588^Disorientation, unspecified||20260308170000|Discharge^Discharge^CHUBADT|||||||||0
DG1|2||##NOMEN##,DG1,ceStruct,diagnosis,191922231,36394629^Urinary tract infection, site not specified||20260308170000|Discharge^Discharge^CHUBADT|||||||||0
GT1|1|20666332^^^CMRN&2.16.840.1.113883.3.566.1000&ISO^Community Medical Record Number^MU_FIN^20200605170145~17498428^^^MU MRN&2.16.840.1.113883.3.566.5000&ISO^MRN^MU_FIN^20200605170145~10361852^^^CRMC MRN&2.16.840.1.113883.3.547.2000&ISO^MRN^HX_CRMC_DEMO_SYS^20210527010344~489544039^^^SSN Alias Pool&2.16.840.1.113883.4.1&ISO^SSN^IDX^20200605191939~CRP265015^^^HX_ECW_MRN&2.16.840.1.113883.3.547.5&ISO^Historical MRN^HX_CRMC_DEMO_SYS^20210527010344~M000022982^^^HX_CRMC_MRN&2.16.840.1.113883.3.547.1&ISO^Historical MRN^HX_CRMC_DEMO_SYS^20210527010344~C1089460^^^Community Practice MRN Pool^Referring MRN^IDX^20200609201254~17498428^^^MU MRN&2.16.840.1.113883.3.566.5000&ISO^Account Number^^20230404173331~17498428^^^MU MRN&2.16.840.1.113883.3.566.5000&ISO^Account Number^^20230407185556~10361852^^^CRMC MRN&2.16.840.1.113883.3.547.2000&ISO^Account Number^^20220325070332~10361852^^^CRMC MRN&2.16.840.1.113883.3.547.2000&ISO^Account Number^^20230228015953~BCA69F8D54544E7BA8B0ADC15AE25CB6^^^MESSAGING CERNPHR^Messaging^^20241008125234~URN:CERNER:IDENTITY-FEDERATION:REALM:VO3NB7XNL_9G2KQXBPPW3-R0QCPKRCY7-CH:PRINCIPAL:7F328C99-9BEA-40DE-AF38-D24C2EC03C8F^^^Cerner: Federated Person Principal&2.16.840.1.113883.3.13.6&ISO^Federated Person Principal^^20241008125232~23742792^^^CMRN&2.16.840.1.113883.3.566.1000&ISO^Community Medical Record Number^HX_CRMC_DEMO_SYS^20210527010344^20210622171057~23373024^^^CMRN&2.16.840.1.113883.3.566.1000&ISO^Community Medical Record Number^^^20210715145138~29494639^^^MU MRN&2.16.840.1.113883.3.566.5000&ISO^MRN^^^20210715145138|SMITH^STEVE^R^^^^Current^^^^^20200605170145~SMITH^STEVE^^^^^Preferred^^^^^20200709134844~SMITH^STEVE^R^^^^Alternate^^^^^20200709134844~SMITH^STEVEN^R^^^^Alternate^^^^^20210715145103||ssmthbggy2@gmail.com^^^^^^e-mail^^^^^^20200605170145~2825 MAIN ST APT E^^LOHMAN^MO^650539202^US^home^^Cole^^^^20200605191939|^Home^Tel^^^573^9526011^^^^^^20200605191939~^Alternate/Day^Tel^^^573^5072031^^^^^^20230608182545~^Mobile^Tel^^^573^9526011^^^^^^20230608182545||19530524|Male^Male^CHUBADT|Default Guarantor^Default Guarantor^CHUBADT|SELF^SELF^CHUBADT||20220323||1|||||Retired^Retired^CHUBADT||||||||||||||||English^English^CHUBADT|||||Methodist^Methodist^CHUBADT||||||||||Retired||||WHITE^WHITE^CHUBADT
IN1|1|^United Healthcare Medicare PPO^^^United Healthcare Medicare PPO PO Box 30995|7154129^^^Insurance Company ID^Insurance Code~621240316^^^Financial FSI Insurance Code^Financial FSI~911312551^^^Financial FSI Insurance Code^Financial FSI~CERN000033^^^NAIC^Natl Assoc of Insurance Commissioners~CERN000033^^^Transaction Services Payer Identifier^Transaction Service Payer Identifier~473221444^^^Financial FSI Insurance Code^Financial FSI~313618411^^^Financial FSI Insurance Code^Financial FSI~3000799819^^^Financial FSI Insurance Code^Financial FSI~710569421^^^Financial FSI Insurance Code^Financial FSI~111187726^^^Financial FSI Insurance Code^Financial FSI~201902768^^^Financial FSI Insurance Code^Financial FSI~411289245^^^Financial FSI Insurance Code^Financial FSI~591293865^^^Financial FSI Insurance Code^Financial FSI~111840614^^^Financial FSI Insurance Code^Financial FSI~272337487^^^Financial FSI Insurance Code^Financial FSI~114313618^^^Financial FSI Insurance Code^Financial FSI~431361841^^^Financial FSI Insurance Code^Financial FSI~840614905^^^Financial FSI Insurance Code^Financial FSI~061118515^^^Financial FSI Insurance Code^Financial FSI~942649097^^^Financial FSI Insurance Code^Financial FSI~UHCGroup^^^UNIV_MO Remit Grouping^Payer Remit Grouping Number~162731111^^^Financial FSI Insurance Code^Financial FSI|United HealthCare^^^^^Insurance Company ID^Insurance Code^^^7154129~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^621240316~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^911312551~United HealthCare^^^^^NAIC^Natl Assoc of Insurance Commissioners^^^CERN000033~United HealthCare^^^^^Transaction Services Payer Identifier^Transaction Service Payer Identifier^^^CERN000033~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^473221444~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^313618411~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^3000799819~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^710569421~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^111187726~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^201902768~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^411289245~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^591293865~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^111840614~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^272337487~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^114313618~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^431361841~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^840614905~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^061118515~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^942649097~United HealthCare^^^^^UNIV_MO Remit Grouping^Payer Remit Grouping Number^^^UHCGroup~United HealthCare^^^^^Financial FSI Insurance Code^Financial FSI^^^162731111|PO BOX 30995^^SALT LAKE CITY^UT^841300995^US^business^10269^^^^^20200930201039||^Business^^^^877^8423210^^^^^^20200930201618|16614||||20240101060000|||Medicare^Medicare^CHUBADT|SMITH^STEVE^R^^^^Current^^^^^20200605170145~SMITH^STEVE^^^^^Preferred^^^^^20200709134844~SMITH^STEVE^R^^^^Alternate^^^^^20200709134844~SMITH^STEVEN^R^^^^Alternate^^^^^20210715145103|SELF^SELF^CHUBADT|19530524|ssmthbggy2@gmail.com^^^^^^e-mail^^^^^^20200605170145~2825 MAIN ST APT E^^LOHMAN^MO^650539202^US^home^^Cole^^^^20200605191939|Yes^Yes^CHUBADT||1|||||Yes^Yes^CHUBADT||20260308163957||||||Managed Medicare^Managed Medicare^CHUBADT||||||||Male^Male^CHUBADT||Verified||||20666332^^^CMRN&2.16.840.1.113883.3.566.1000&ISO^Community Medical Record Number^MU_FIN^20200605170145~17498428^^^MU MRN&2.16.840.1.113883.3.566.5000&ISO^MRN^MU_FIN^20200605170145~10361852^^^CRMC MRN&2.16.840.1.113883.3.547.2000&ISO^MRN^HX_CRMC_DEMO_SYS^20210527010344~489544039^^^SSN Alias Pool&2.16.840.1.113883.4.1&ISO^SSN^IDX^20200605191939~M000022982^^^HX_CRMC_MRN&2.16.840.1.113883.3.547.1&ISO^Historical MRN^HX_CRMC_DEMO_SYS^20210527010344~CRP265015^^^HX_ECW_MRN&2.16.840.1.113883.3.547.5&ISO^Historical MRN^HX_CRMC_DEMO_SYS^20210527010344~C1089460^^^Community Practice MRN Pool^Referring MRN^IDX^20200609201254~10361852^^^CRMC MRN&2.16.840.1.113883.3.547.2000&ISO^Account Number^^20220325070332~10361852^^^CRMC MRN&2.16.840.1.113883.3.547.2000&ISO^Account Number^^20230228015953~17498428^^^MU MRN&2.16.840.1.113883.3.566.5000&ISO^Account Number^^20230407185556~17498428^^^MU MRN&2.16.840.1.113883.3.566.5000&ISO^Account Number^^20230404173331~BCA69F8D54544E7BA8B0ADC15AE25CB6^^^MESSAGING CERNPHR^Messaging^^20241008125234~URN:CERNER:IDENTITY-FEDERATION:REALM:VO3NB7XNL_9G2KQXBPPW3-R0QCPKRCY7-CH:PRINCIPAL:7F328C99-9BEA-40DE-AF38-D24C2EC03C8F^^^Cerner: Federated Person Principal&2.16.840.1.113883.3.13.6&ISO^Federated Person Principal^^20241008125232|||||87726^^^Experian ClaimSource Alias^National HP Identifier~10269^^^Health Plan Alias^Health Plan Alias~87726nocd^^^SSI Alias^National HP Identifier
IN2||||||2YF2TR5PA03|||||||||||||||||||995615691^^^^SN|||||||||English^English^CHUBADT|||||Methodist^Methodist^CHUBADT||||||||||||||||||||||995615691^^^^MB||^Home^Email^ssmthbggy2@gmail.com^^^^^^^^^20231214153950~^Home^Tel^^^573^9526011^^^^^^20200605191939^^^^^1~^Alternate/Day^Tel^^^573^5072031^^^^^^20230608182545~^Mobile^Tel^^^573^9526011^^^^^^20230608182545||||||||WHITE^WHITE^CHUBADT|SELF^SELF^CHUBADT

Parsed Message

ADT_A06

|^~\&UNIV_MOUNIV_MO2.16.840.1.113883.3.566.371ISO20260308191256ADTA07ADT_A06Q4213139276T5589405239X4245982.8.1ALNE8859/1JC Capital Region Medical Center - Jefferson CityD1699769901NPINPI20260308191255706365DouglasKellyMarieMDPhysician # - Master Doctor MasterCOMMUNITY DR NBRIDX706365DouglasKellyMarieMDUniversity HSC (external identifier)PersonnelExternal IdentifierIDX1366889909DouglasKellyMarieMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDX10273573DouglasKellyMarieMDUMHS Personnel Badge IDPersonnelPersonnel Badge ID6882663837011DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber Index6882663837015DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexFD0264957DouglasKellyMarieMDPersonnelDOCDEA6882663837014DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber Index6882663837016DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber Index6882663837018DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber Index6882663837019DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber Index6882663837020DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber Index6882663837024DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber Index110361852CRMC MRN2.16.840.1.113883.3.547.2000ISOMRNHX_CRMC_DEMO_SYS2021052701034417498428MU MRN2.16.840.1.113883.3.566.5000ISOMRNMU_FIN20200605170145SMITHSTEVERCURRENT19530524MWHITEWHITECHUBADTENGLISHENGLISHCHUBADTMARRIEDMARRIEDCHUBADTMETHODISTMETHODISTCHUBADT74879861MU FIN NBR2.16.840.1.113883.3.566.2000ISOFIN NBRNOT HISPANIC, LATINO, OR SPANISH ORIGINNOT HISPANIC, LATINO, OR SPANISH ORIGINCHUBADTHUMANHUMANCHUBADTHOMEEMAILSSMTHBGGY2@GMAIL.COM20231214153950HOMETEL5739526011202006051919391ALTERNATE/DAYTEL573507203120230608182545MOBILETEL573952601120230608182545SNAPSHOTIPInformed ProviderCHUBADT1003875360SchneiderThomasWMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDX20240929221816Business573556170320140915050000Fax Business573761435120140915050000DSMthomas.schneider@jcmg.eclinicaldirectplus.comEABSNAPSHOTIPInformed ProviderCHUBADT1710981444AdamsJohnGJrMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXMD20260307182119Business573443877320121203060000Fax Business573443684320121203060000DSMjadams91611@direct-ehr-ssmhc.comEABSNAPSHOTIPInformed ProviderCHUBADT1376563510Shoemaker-MoyleMichaelSeanMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXMD20240929221816Business573882878820160627160524Fax Business573884313120160627160524Pager Bus5737717243035020191007201848DSMshoemakermoylem@direct.health.missouri.eduPHONESNAPSHOTPrimary Care PhysicianPrimary Care PhysicianCHUBADT1003875360SchneiderThomasWMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDX20200605191939Business573556170320140915050000Fax Business573761435120140915050000DSMthomas.schneider@jcmg.eclinicaldirectplus.comEAB1ObservationJC EDH08HAJC Capital Region Medical CenterBed(s)JC Capital Region Medical CenterEmergencyJC ED08AJC Capital Region Medical CenterAJC Capital Region Medical Center1003875360SchneiderThomasWMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXJC HospitalistNon-HC Facility/Home1366889909DouglasKellyMarieMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXObservationManaged MedicareJC Capital Region Medical CenterActive20260308161825OBSERVATIONOBSERVATIONCHUBADTAMSYesJC Capital Region Medical Center - Jefferson CityCompany CodeCompany CodeJC Capital Region Medical Center - Jefferson CityCRMC Client Code for POCClient CodeJC Capital Region Medical Center - Jefferson CityNational Provider Identifier-OrgNational Provider IdentifierSNAPSHOTAdmitting PhysicianAdmitting PhysicianCHUBADT1366889909DouglasKellyMarieMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXMD20260308191255Business573882809120140604050000Business573884003620230403175903BusinessTel573884440020250909205703Fax Business573884190220140604050000Fax Business573884106320230403175903Fax Business573884599420250909205722DSMMONAHANKM@direct.health.missouri.eduPHONESNAPSHOTAttending PhysicianAttending PhysicianCHUBADT1003875360SchneiderThomasWMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDX20260308191255Business573556170320140915050000Fax Business573761435120140915050000DSMthomas.schneider@jcmg.eclinicaldirectplus.comEABSNAPSHOTCare DeliveryCare DeliveryCHUBADT20021GeiserLaurenBPERSONNEL PRIMARY IDENTIFIERPersonnelPersonnel Primary Identifier14462072GeiserLaurenBUMHS Personnel Badge IDPersonnelPersonnel Badge ID20260308184300SNAPSHOTCare DeliveryCare DeliveryCHUBADT21177CombsKylaJCTA-CPERSONNEL PRIMARY IDENTIFIERPersonnelPersonnel Primary Identifier10317189CombsKylaJCTA-CUMHS Personnel Badge IDPersonnelPersonnel Badge ID20260308182700SNAPSHOTCare DeliveryCare DeliveryCHUBADT29034SchreckJaceCCTA-CPERSONNEL PRIMARY IDENTIFIERPersonnelPersonnel Primary Identifier10324814SchreckJaceCCTA-CUMHS Personnel Badge IDPersonnelPersonnel Badge ID20260308165100SNAPSHOTCare DeliveryCare DeliveryCHUBADT706365DouglasKellyMarieMDPhysician # - Master Doctor MasterPersonnelCOMMUNITY DR NBRIDXMD706365DouglasKellyMarieMDUniversity HSC (external identifier)PersonnelExternal IdentifierIDXMD1366889909DouglasKellyMarieMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXMD10273573DouglasKellyMarieMDUMHS Personnel Badge IDPersonnelPersonnel Badge IDMD6882663837011DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837015DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMDFD0264957DouglasKellyMarieMDPersonnelDOCDEAMD6882663837014DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837016DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837018DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837019DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837020DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837024DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD20260308165000Business573882809120140604050000Business573884003620230403175903BusinessTel573884440020250909205703Fax Business573884190220140604050000Fax Business573884106320230403175903Fax Business573884599420250909205722DSMMONAHANKM@direct.health.missouri.eduPHONESNAPSHOTCare DeliveryCare DeliveryCHUBADT25080MorrisJadynMCTACPERSONNEL PRIMARY IDENTIFIERPersonnelPersonnel Primary Identifier10321174MorrisJadynMCTACUMHS Personnel Badge IDPersonnelPersonnel Badge ID20260308164100SNAPSHOTCare DeliveryCare DeliveryCHUBADT10273028HackmannPaytonSFNPUMHS Personnel Badge IDPersonnelPersonnel Badge IDIDXFNP1295365823HackmannPaytonSFNPNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXFNP716052HackmannPaytonSFNPUniversity HSC (external identifier)PersonnelExternal IdentifierIDXFNP716052HackmannPaytonSFNPPhysician # - Master Doctor MasterPersonnelCOMMUNITY DR NBRIDXFNP7521574152002HackmannPaytonSFNPSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexFNPMH7481310HackmannPaytonSFNPUniversity HSC (DEA)PersonnelDOCDEAFNP7521574152004HackmannPaytonSFNPSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexFNP7521574152006HackmannPaytonSFNPSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexFNP7521574152008HackmannPaytonSFNPSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexFNP7521574152001HackmannPaytonSFNPSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexFNP7521574152010HackmannPaytonSFNPSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexFNP20260308163500Business573882490820201117171126Business573882650020211123210148Business573882151520220915183925Fax Business573884518420201117171126Fax Business573884460420211123210148Fax Business573884007020220915183925Pager Bus573771724320210913200401DSMschoolerp@direct.health.missouri.eduPHONESNAPSHOTCare DeliveryCare DeliveryCHUBADT40317EhmkeJeffreySDOUniversity HSC (external identifier)PersonnelExternal IdentifierIDXDO40317EhmkeJeffreySDOPhysician # - Master Doctor MasterPersonnelCOMMUNITY DR NBRIDXDOH70736EhmkeJeffreySDOUniversity HSC (Doc UPIN)PersonnelDOCUPINIDXDO1780631978EhmkeJeffreySDONational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXDOBE7339509EhmkeJeffreySDOPersonnelDOCDEADO6534101103005EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103009EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103008EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103010EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103011EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103016EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103017EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103019EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103012EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103013EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO6534101103015EhmkeJeffreySDOSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexDO20260308161859BusinessTel573632500020121203060000Business573884003620230403175903Fax Business573632597720121203060000Fax Business573884106320230403175903DSMEHMKEJ@direct.health.missouri.eduPHONESNAPSHOTClinical InstructionClinical InstructionCHUBADT705971GeslingJamesHoustonPAPhysician # - Master Doctor MasterPersonnelCOMMUNITY DR NBRIDXPA1588086474GeslingJamesHoustonPANational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXPA705971GeslingJamesHoustonPAUniversity HSC (external identifier)PersonnelExternal IdentifierIDXPA6756478049003GeslingJamesHoustonPASurescripts Prescriber IDPersonnelSureScripts Prescriber IndexPA12155100GeslingJamesHoustonPAUMHS Personnel Badge IDPersonnelPersonnel Badge IDIDXPAMG6639605GeslingJamesHoustonPAUniversity HSC (DEA)PersonnelDOCDEAPA6756478049008GeslingJamesHoustonPASurescripts Prescriber IDPersonnelSureScripts Prescriber IndexPA6756478049022GeslingJamesHoustonPASurescripts Prescriber IDPersonnelSureScripts Prescriber IndexPA6756478049024GeslingJamesHoustonPASurescripts Prescriber IDPersonnelSureScripts Prescriber IndexPA6756478049009GeslingJamesHoustonPASurescripts Prescriber IDPersonnelSureScripts Prescriber IndexPA6756478049015GeslingJamesHoustonPASurescripts Prescriber IDPersonnelSureScripts Prescriber IndexPA6756478049013GeslingJamesHoustonPASurescripts Prescriber IDPersonnelSureScripts Prescriber IndexPA6756478049017GeslingJamesHoustonPASurescripts Prescriber IDPersonnelSureScripts Prescriber IndexPA20260308162100BusinessTel573882809120140207060000Business660882342120230322201132Fax Business573884190220140207060000Fax Business573882409620230322201132Pager Bus5737717243045320180911215812DSMgeslingj@direct.health.missouri.eduPHONESNAPSHOTED NurseED NurseCHUBADT17124FickMorganMRNPERSONNEL PRIMARY IDENTIFIERPersonnelPersonnel Primary Identifier10315990FickMorganMRNUMHS Personnel Badge IDPersonnelPersonnel Badge ID20260308165300SNAPSHOTED NurseED NurseCHUBADT10290080DoerhoffKristaRRNUMHS Personnel Badge IDPersonnelPersonnel Badge ID24815DoerhoffKristaRRNPERSONNEL PRIMARY IDENTIFIERPersonnelPersonnel Primary Identifier20260308164700SNAPSHOTED NurseED NurseCHUBADT21406LindseyTiffanyXRNPERSONNEL PRIMARY IDENTIFIERPersonnelPersonnel Primary Identifier10316104LindseyTiffanyXRNUMHS Personnel Badge IDPersonnelPersonnel Badge ID20260308164500SNAPSHOTED NurseED NurseCHUBADT26506ShermanMelissaARNPERSONNEL PRIMARY IDENTIFIERPersonnelPersonnel Primary Identifier10322236ShermanMelissaARNUMHS Personnel Badge IDPersonnelPersonnel Badge ID20260308162600SNAPSHOTOrdering PhysicianOrdering PhysicianCHUBADT706365DouglasKellyMarieMDPhysician # - Master Doctor MasterPersonnelCOMMUNITY DR NBRIDXMD706365DouglasKellyMarieMDUniversity HSC (external identifier)PersonnelExternal IdentifierIDXMD1366889909DouglasKellyMarieMDNational Provider Identifier2.16.840.1.113883.4.6ISOPersonnelNational Provider IdentifierIDXMD10273573DouglasKellyMarieMDUMHS Personnel Badge IDPersonnelPersonnel Badge IDMD6882663837011DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837015DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMDFD0264957DouglasKellyMarieMDPersonnelDOCDEAMD6882663837014DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837016DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837018DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837019DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837020DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD6882663837024DouglasKellyMarieMDSurescripts Prescriber IDPersonnelSureScripts Prescriber IndexMD20260308175902Business573882809120140604050000Business573884003620230403175903BusinessTel573884440020250909205703Fax Business573884190220140604050000Fax Business573884106320230403175903Fax Business573884599420250909205722DSMMONAHANKM@direct.health.missouri.eduPHONE1DrugDrugCHUBADT##NOMEN##,AL1,ceStruct,allergy,13244242,34389264No Known Medication AllergiesCerner2DrugDrugCHUBADT##NOMEN##,AL1,ceStruct,allergy,1360168,2819193SeptraMultum Drug3DrugDrugCHUBADT##NOMEN##,AL1,ceStruct,allergy,1360168,3042728Cardizem CDMultum Drug1##NOMEN##,DG1,ceStruct,diagnosis,191922231,36401588Disorientation, unspecified20260308170000Discharge02##NOMEN##,DG1,ceStruct,diagnosis,191922231,36394629Urinary tract infection, site not specified20260308170000Discharge0120666332CMRN2.16.840.1.113883.3.566.1000ISOCommunity Medical Record NumberMU_FIN2020060517014517498428MU MRN2.16.840.1.113883.3.566.5000ISOMRNMU_FIN2020060517014510361852CRMC MRN2.16.840.1.113883.3.547.2000ISOMRNHX_CRMC_DEMO_SYS20210527010344489544039SSN Alias Pool2.16.840.1.113883.4.1ISOSSNIDX20200605191939CRP265015HX_ECW_MRN2.16.840.1.113883.3.547.5ISOHistorical MRNHX_CRMC_DEMO_SYS20210527010344M000022982HX_CRMC_MRN2.16.840.1.113883.3.547.1ISOHistorical MRNHX_CRMC_DEMO_SYS20210527010344C1089460Community Practice MRN PoolReferring MRNIDX2020060920125417498428MU MRN2.16.840.1.113883.3.566.5000ISOAccount Number2023040417333117498428MU MRN2.16.840.1.113883.3.566.5000ISOAccount Number2023040718555610361852CRMC MRN2.16.840.1.113883.3.547.2000ISOAccount Number2022032507033210361852CRMC MRN2.16.840.1.113883.3.547.2000ISOAccount Number20230228015953BCA69F8D54544E7BA8B0ADC15AE25CB6MESSAGING CERNPHRMessaging20241008125234URN:CERNER:IDENTITY-FEDERATION:REALM:VO3NB7XNL_9G2KQXBPPW3-R0QCPKRCY7-CH:PRINCIPAL:7F328C99-9BEA-40DE-AF38-D24C2EC03C8FCerner: Federated Person Principal2.16.840.1.113883.3.13.6ISOFederated Person Principal2024100812523223742792CMRN2.16.840.1.113883.3.566.1000ISOCommunity Medical Record NumberHX_CRMC_DEMO_SYS202105270103442021062217105723373024CMRN2.16.840.1.113883.3.566.1000ISOCommunity Medical Record Number2021071514513829494639MU MRN2.16.840.1.113883.3.566.5000ISOMRN20210715145138SMITHSTEVERCurrentSMITHSTEVEPreferredSMITHSTEVERAlternateSMITHSTEVENRAlternatessmthbggy2@gmail.come-mail2825 MAIN ST APT ELOHMANMO650539202UShomeColeHomeTel5739526011Alternate/DayTel5735072031MobileTel573952601119530524MaleDefault GuarantorSELFSELFCHUBADT202203231RetiredEnglishEnglishCHUBADTMethodistMethodistCHUBADTRetiredWHITEWHITECHUBADT1United Healthcare Medicare PPOUnited Healthcare Medicare PPO PO Box 309957154129Insurance Company IDInsurance Code621240316Financial FSI Insurance CodeFinancial FSI911312551Financial FSI Insurance CodeFinancial FSICERN000033NAICNatl Assoc of Insurance CommissionersCERN000033Transaction Services Payer IdentifierTransaction Service Payer Identifier473221444Financial FSI Insurance CodeFinancial FSI313618411Financial FSI Insurance CodeFinancial FSI3000799819Financial FSI Insurance CodeFinancial FSI710569421Financial FSI Insurance CodeFinancial FSI111187726Financial FSI Insurance CodeFinancial FSI201902768Financial FSI Insurance CodeFinancial FSI411289245Financial FSI Insurance CodeFinancial FSI591293865Financial FSI Insurance CodeFinancial FSI111840614Financial FSI Insurance CodeFinancial FSI272337487Financial FSI Insurance CodeFinancial FSI114313618Financial FSI Insurance CodeFinancial FSI431361841Financial FSI Insurance CodeFinancial FSI840614905Financial FSI Insurance CodeFinancial FSI061118515Financial FSI Insurance CodeFinancial FSI942649097Financial FSI Insurance CodeFinancial FSIUHCGroupUNIV_MO Remit GroupingPayer Remit Grouping Number162731111Financial FSI Insurance CodeFinancial FSIUnited HealthCareInsurance Company IDInsurance CodeUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareNAICNatl Assoc of Insurance CommissionersUnited HealthCareTransaction Services Payer IdentifierTransaction Service Payer IdentifierUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareFinancial FSI Insurance CodeFinancial FSIUnited HealthCareUNIV_MO Remit GroupingPayer Remit Grouping NumberUnited HealthCareFinancial FSI Insurance CodeFinancial FSIPO BOX 30995SALT LAKE CITYUT841300995USbusiness10269Business87784232101661420240101060000MedicareSMITHSTEVERCurrentSMITHSTEVEPreferredSMITHSTEVERAlternateSMITHSTEVENRAlternateSELFSELFCHUBADT19530524ssmthbggy2@gmail.come-mail2825 MAIN ST APT ELOHMANMO650539202UShomeColeYes1Yes20260308163957Managed MedicareMaleVerified20666332CMRN2.16.840.1.113883.3.566.1000ISOCommunity Medical Record NumberMU_FIN2020060517014517498428MU MRN2.16.840.1.113883.3.566.5000ISOMRNMU_FIN2020060517014510361852CRMC MRN2.16.840.1.113883.3.547.2000ISOMRNHX_CRMC_DEMO_SYS20210527010344489544039SSN Alias Pool2.16.840.1.113883.4.1ISOSSNIDX20200605191939M000022982HX_CRMC_MRN2.16.840.1.113883.3.547.1ISOHistorical MRNHX_CRMC_DEMO_SYS20210527010344CRP265015HX_ECW_MRN2.16.840.1.113883.3.547.5ISOHistorical MRNHX_CRMC_DEMO_SYS20210527010344C1089460Community Practice MRN PoolReferring MRNIDX2020060920125410361852CRMC MRN2.16.840.1.113883.3.547.2000ISOAccount Number2022032507033210361852CRMC MRN2.16.840.1.113883.3.547.2000ISOAccount Number2023022801595317498428MU MRN2.16.840.1.113883.3.566.5000ISOAccount Number2023040718555617498428MU MRN2.16.840.1.113883.3.566.5000ISOAccount Number20230404173331BCA69F8D54544E7BA8B0ADC15AE25CB6MESSAGING CERNPHRMessaging20241008125234URN:CERNER:IDENTITY-FEDERATION:REALM:VO3NB7XNL_9G2KQXBPPW3-R0QCPKRCY7-CH:PRINCIPAL:7F328C99-9BEA-40DE-AF38-D24C2EC03C8FCerner: Federated Person Principal2.16.840.1.113883.3.13.6ISOFederated Person Principal2024100812523287726Experian ClaimSource AliasNational HP Identifier10269Health Plan AliasHealth Plan Alias87726nocdSSI AliasNational HP Identifier2YF2TR5PA03995615691SNEnglishEnglishCHUBADTMethodistMethodistCHUBADT995615691MBHomeEmailssmthbggy2@gmail.comHomeTel5739526011Alternate/DayTel5735072031MobileTel5739526011WHITEWHITECHUBADTSELFSELFCHUBADT

App:: UNIV_MO
Facility:: UNIV_MO
Msg Time:: March 8, 2026 19:12:56
Control ID:: Q4213139276T5589405239X424598
Type:: ADT_A07
Version:: HL7 v2.8.1

Account #: 74879861
ID: 10361852CRMC MRN2.16.840.1.113883.3.547.2000ISOMRNHX_CRMC_DEMO_SYS2021052701034417498428MU MRN2.16.840.1.113883.3.566.5000ISOMRNMU_FIN20200605170145,
Sex: M
Name: SMITH, STEVE R CURRENT
DOB: May 24, 1953
Address

Admit Reason: AMS
Admit Date: March 8, 2026 16:18:25
Location: JC EDH08HAJC Capital Region Medical CenterBed(s)JC Capital Region Medical Center JC Capital Region Medical Center
Servicing Facility: JC Capital Region Medical Center
Admit Type: Emergency
Account Type: Active Observation ObservationJC Hospitalist
Attending Provider: Schneider, Thomas W

License #: 1003875360
Admitting Provider: Douglas, Kelly Marie

License #: 1366889909

Allergy Type: DrugDrugCHUBADT
Allergy Info: ##NOMEN##,AL1,ceStruct,allergy,13244242,34389264No Known Medication AllergiesCerner

Allergy Type: DrugDrugCHUBADT
Allergy Info: ##NOMEN##,AL1,ceStruct,allergy,1360168,2819193SeptraMultum Drug

Allergy Type: DrugDrugCHUBADT
Allergy Info: ##NOMEN##,AL1,ceStruct,allergy,1360168,3042728Cardizem CDMultum Drug

Diagnosis Coding Method
Diagnosis Code: ##NOMEN##,DG1,ceStruct,diagnosis,191922231,36401588Disorientation, unspecified
Diagnosis DateTime: 20260308170000
Diagnosis Type: Discharge

Diagnosis Coding Method
Diagnosis Code: ##NOMEN##,DG1,ceStruct,diagnosis,191922231,36394629Urinary tract infection, site not specified
Diagnosis DateTime: 20260308170000
Diagnosis Type: Discharge

Parse another Message