MSH|^~\&|SendFac|SendApp|EXTERNAL APP|EXTERNAL FAC|201902021310|319|MDM^T02|42|P|2.3.1||
EVN|T02|201902021310|||543453^WILLIAMS^LINDSAY^^^^^^NPI^L^^^NPI
PID|1||117513^^^West^MR||Patrick^Michelle^ANNE^^^||19810518|F|||120 WOODSY ANIMAL LANE^^MIDDLETON^WI^53700^USA||(608)222-2222|(608)777-7777
PV1|1|O|||||543453^WILLIAMS^LINDSAY^^^^^^NPI^L^^^NPI ||||||||||||17872
TXA|1|OV^Outpatient Visit Note|TX|201902021000|543453^WILLIAMS^LINDSAY^^^^^^NPI^L^^^NPI|201902021315|||543453^WILLIAMS^LINDSAY^^^^^^NPI^L^^^NPI|||OV17872|||||AU||AV|||543453^WILLIAMS^LINDSAY ^^^^^^PRN^^^^^^201902021420|
OBX|1|TX|1006^History: Family|6|Family History~~ Problem Relation Age of Onset~ Asthma Grandchild 13~ Comments: Comments~ Colon Cancer Mother 57~ Arthritis Brother~ Arthritis Sister~ Cancer Sister~ Cancer Maternal Grandfather~ Allergies Paternal Grandmother~ Alcohol/Drug Mother~ Gestational Diabetes Brother~~Family Status - Relation Status Age at Death~ Mother Alive~ Father Deceased~ Sister Alive~ Maternal Grandmother Deceased 68~ Maternal Grandfather Deceased 65~||||||F