ADT A13

Page 1

MSH|^~\&|ADT||Vendor|CRISP|20210104161722||ADT^A28|4955005672924506823|P|2.5|||AL|NE |||||

EVN|A28|20210104121525||01||20210104121525|||

PID|01||^^^||YALEZZZTESTPATIENT^YALECONNIE||19750501|F||Not Recorded|1234 Main St^^Hartford^CT^06118^USA^^^15|USA|||UNK||||999999999|||UNK|||||||||

PV1|01|DEMO|Anne Arundel Cnty

EMS|||||||||||||||||||||||||||||||||||||||||20210104121525||||||23917622||||

Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.