Parsed HL7v2 Message
|^~\&EyeMDEMREyeMDEMR20251029000000ADTA31598299P2.3NE A31202510291059 11919746/11919746/11919746/1TAYLORLAURA19680903F10051 ALERT ROADMC CLELLANVILLESC29458843819244184381924411919746 OCM GT111919746TAYLORLAURA10051 ALERT ROADMC CLELLANVILLESC29458843819244119680903FSe 15454BCBS OF SCPO BOX 100300COLUMBIASC29202-8008682510OTAYLORLAURAS1968090310051 ALERT ROADMC CLELLANVILLESC294581SJX069572332F 1
- App:
- EyeMDEMR
- Facility:
- EyeMDEMR
- Msg Time:
- October 29, 2025 00:00:00
- Control ID:
- 598299
- Type:
- ADT_A31
- Version:
-
HL7 v2.3
- Account #
- 1919746
- ID
- 1919746/1, 1919746/1
- PHN
- 1919746/1
- Sex
- F
- Name
-
TAYLOR,
LAURA
- DOB
- September 3, 1968
- Address
- MC CLELLANVILLE
CA
29458
- Phone
- 8438192441
- Diagnosis Coding Method
- Diagnosis Code
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