Parsed HL7v2 Message

Original Message

Parsed Message

App:
Facility:
Msg Time:
August 4, 2026 17:01:29
Control ID:
1058063
Type:
ADT_A04
Version:
HL7 v2.3
Account #
ID
E106752222, 1503795453
PHN
1058063
Sex
M
Name
Moore, Stephen K
DOB
February 16, 1960
Address
POTOMAC
CA
20854
Phone
2023225978
Location
CCCDC11
Account Type
Attending Provider
Williams, James
License #: WILLIAMSJ

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