MSH|^~\&#|^372520^L|^372521^L|^372522^L|^372523^L|20130211184101-0500||OML^O21^OML_O21|NIST-LOI_3.0_1.1-NG|T|2.5.1|||AL|AL|||||LOI_Common_Component^LOI Base Profile^2.16.840.1.113883.9.66^ISO~LOI_NG_Component^LOI NG Profile^2.16.840.1.113883.9.79^ISO~LAB_PRU_Component^LOI PRU Profile^2.16.840.1.113883.9.82^ISO
PID|1||PATID1234^^^&372524&L^MR||Jones^William^A^JR^^^L||19610615|M||2106-3^White^HL70005|2100 Kennwood Ave^Apt 41^Los Angeles^CA^90067^^H
ORC|NW|ORD777888^^372520^L||GORD874244^^372520^L|||||20120628070100|||5742200012^Radon^Nicholas^^^^^^&372526&L^L^^^NPI||||||||2^Patient has been informed of responsibility, and agrees to pay for service^HL70339
OBR|1|ORD777888^^372520^L||400.1^Lipid Panel - direct LDL^99USL^57698-3^Lipid panel with direct LDL - Serum or Plasma^LN^20130421^^Lipid Panel - direct LDL|||20110531123551-0800|||||||||5742200012^Radon^Nicholas^^^^^^&372526&L^L^^^NPI||||||||||||10092000194^Hamlin^Pafford^^^^^^&372526&L^L^^^NPI
PRT|1^^372520^L|AD||RCT^Result Copies To^HL70912^^^^^^Send blind carbon copies to|10092000194^Hamlin^Pafford^^^^^^&372526&L^L^^^NPI||||||||||^^FX^^^323^5555555
DG1|1||Z82.49^Family history of ischemic heart disease and other diseases of the circulatory system^I10C^^^^^^family history of  heart diease NOS|||W|||||||||2
DG1|2||R00.2^Palpitations^I10C^^^^^^Palpitations|||W|||||||||1
OBX|1|CWE|49541-6^Fasting status^LN^1902^Fasting Status^99USL||Y^Yes^HL70136||||||O|||20110531|||||||||||||||SCI
SPM|1|S-666555&&372520&L||119297000^Blood Specimen^SCT^^^^^^Blood|||||||||||||20110531123551-0800