ADT A38

Page 1

MSH|^~\&|ADT||CRISPADT|CRISP|20210104153456||ADT^A38|8F4-5FF37BF035D|P|2.4

EVN|A38|20210104153450|||721MMM

PID|1||15035402^^^^MR~152-111111^^^^SS~F64619^^^^PI||YALEZZZTESTPATIENT^YALECONNIE||19750501|F||W|1234 Main St^^Hartford^CT^06118^USA^^^15|ALLE|||E|W|P100|D006692157|152-11-1111||2|UNK

ROL|1|AD|FHCP|GRELOLA^GREGORY^LOTILA

PV1|1|O|WAC|E|||GRELOLA^GREGORY^LOTILA|GRELOLA^GREGORY^LOTILA||||||HOME||||REF|D0 06692157|MAHMO|||||||||||||||||||SHM||CAN REF|||202101201500|||||||V

PV2|1||SCREENING MAMMOGRAM, NECK MASS

DG1|1|||SCREENING MAMMOGRAM, NECK MASS||A

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