MSH|^~\&|WIR|||36|20200514123930||VXU^V04^VXU_V04|43|P|2.5.1|||ER
PID|1||3089409^^^WIA^SR||CHARTNO^TEST^^^^^^L|M^TESTCHART^^^^^^M|20190501|U|||^^MADISON^WI^^^H|||||||||||||||||||N
PD1|||||||||||02^Reminder/recall - any method^HL70215|N||||A
NK1|1||MTH^Mother^HL70063|^^MADISON^WI^^^H
PV1||R||||||||||||||||||V02
ORC|RE||38262868^WIA|||||||||94404^BEL^JEN^^^^^^WIA^^^^^^D|||||||||WIR Physicians II^D^^^^WIA^XX^^^13
RXA|0|1|20190923|20190923|133^Pneumo-Conjugate 13^CVX^Prevnar 13^Pneumo-Conjugate 13^WVTN|0.5|mL^MilliLiter^UCUM||00^New immunization record^NIP001|94403^Noon^Aman^^^^^^WIA^^^^^^D
RXR|IM^Intramuscular^HL70162|RT^Right Thigh^HL70163
OBX|1|CE|64994-7^Vaccine funding program eligibility category^LN|1|V02^VFC eligible - Medicaid/Medicaid Managed Care^HL70064||||||F|||20190923|||VXC40^per immunization^CDCPHINVS