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||38133698^WIA|||||||^Suchon^Jason^^^^^^WIA^^^^^^L||27744^Ace^Jack^b^^^^^WIA^^^^^^D|||||||||WIR Physicians^D^^^^WIA^XX^^^36
RXA|0|1|20180711|20180711|08^HepB-Peds^CVX^Engerix-B Peds^HepB-Peds^WVTN|1.0|mL^MilliLiter^UCUM||00^New immunization record^NIP001|28798^Ald^All^^^^^^WIA^^^^^^D|||||GSKFlulaval|20201027|SKB^GlaxoSmithKline (SmithKline Beecham and Glaxo Wellcome)^MVX
RXR|IM^Intramuscular^HL70162|LA^Left Arm^HL70163
OBX|1|CE|64994-7^Vaccine funding program eligibility category^LN|1|V01^Not VFC eligible^HL70064||||||F|||20180711|||VXC40^per immunization^CDCPHINVS
ORC|RE||38178426^WIA||||||||||||||||||WIR Physicians^D^^^^WIA^XX^^^36
RXA|0|1|20181014|20181014|116^Rotavirus-RV5^CVX^RotaTeq^Rotavirus-RV5^WVTN|999|||01^Historical information - source unspecified^NIP001