MSH|^~\&||SMH|||201911270951||ORM^O01|4114563|D|2.3|||AL|NE
PID|1||SM00041973|SM41899|ITSMITEST^SMH^INPT CCGTESTING^^^^L||19780606|M||||||||||SM001753/18|9875989497
PV1|1|I
ORC|SC|RAD20191120-0001SMH|||T
OBR|1|RAD20191120-0001SMH||RAD^CH^Chest (CXR)||20191120|||||||||||||||||||||||||MIREASON^TESTING PRINTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING PRINTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270951||ORM^O01|4114565|D|2.3|||AL|NE
PID|1||SM00041974|SM41900|ITSMITEST^SMH^IPCCG TEST1^^^^L||19880606|M||||||||||SM001754/18|
PV1|1|I
ORC|SC|CT20191120-0001SMH|||T
OBR|1|CT20191120-0001SMH||CT^HE^Head||20191120|||||||||||||||||||||||||MIREASON^TESTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270951||ORM^O01|4114567|D|2.3|||AL|NE
PID|1||SM00041975|SM41901|ITSMITEST^SMH^IPCCG TEST2^^^^L||19560723|F||||||||||SM001755/18|
PV1|1|I
ORC|SC|US20191120-0001SMH|||T
OBR|1|US20191120-0001SMH||US^PE^Pelvis||20191120|||||||||||||||||||||||||MIREASON^TESTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270951||ORM^O01|4114569|D|2.3|||AL|NE
PID|1||SM00041493|SM41432|ITSMITEST^SMHINPT^GREEN^^^^L||19450302|F||||||||||SM001029/18|9876062876
PV1|1|I
ORC|SC|RAD20191120-0002SMH|||T
OBR|1|RAD20191120-0002SMH||RAD^ZYA^Zygomatic Arches Bilateral||20191120|||||||||||||||||||||||||MIREASON^TESTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270951||ORM^O01|4114571|D|2.3|||AL|NE
PID|1||SM00043175|SM43046|ITSMITEST^SMHTESTPT^WINTER^^^^L||19450201|M||||||||||SM003633/18|
PV1|1|I
ORC|SC|CT20181016-0001SMH|||T
OBR|1|CT20181016-0001SMH||CT^CHC^Chest Contrast||20181016|201810161558|201810161558|||||||||||||||||||||||MIREASON^REASON FOR EXAM
OBX|1|TX|MICANRES^Canadian Resident?||^Y
OBX|2|TX|MICOPIES^Total # of Copies to:||^2
OBX|3|CE|MICTPRIOE^Priority:||P1^Within 24hrs^CT PRIORITY OE
OBX|4|TX|MIPTREQDEL^Pt-Related Delay?||^N
OBX|5|CE|MIPTTYPE^Pt Type:||O^OUT PATIENT or OTHER HOSP^PATIENT TYPE
OBX|6|TX|MIREASON^Reason for Exam:||^REASON FOR EXAM
OBX|7|TX|MIREQDATE^Date Req Rec'd:||^20181016
OBX|8|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|9|TX|MITRANS^Transportation:||^Ambulatory
OBX|10|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270951||ORM^O01|4114572|D|2.3|||AL|NE
PID|1||SM00043175|SM43046|ITSMITEST^SMHTESTPT^WINTER^^^^L||19450201|M||||||||||SM003633/18|
PV1|1|I
ORC|SC|RAD20191120-0003SMH|||T
OBR|1|RAD20191120-0003SMH||RAD^ABM^Abdomen Multi Views||20191120|||||||||||||||||||||||||MIREASON^TEST
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TEST
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270951||ORM^O01|4114573|D|2.3|||AL|NE
PID|1||SM00043175|SM43046|ITSMITEST^SMHTESTPT^WINTER^^^^L||19450201|M||||||||||SM003633/18|
PV1|1|I
ORC|SC|RADM20191120-0001SMH|||T
OBR|1|RADM20191120-0001SMH||RADM^BRTSB^Breast Tissue Specimen Bilat||20191120|||||||||||||||||||||||||MIREASON^TEST
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TEST
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114603|D|2.3|||AL|NE
PID|1||SM00041973|SM41899|ITSMITEST^SMH^INPT CCGTESTING^^^^L||19780606|M||||||||||SM001753/18|9875989497
PV1|1|I
ORC|SC|RAD20191120-0001SMH|||R
OBR|1|RAD20191120-0001SMH||RAD^CH^Chest (CXR)||20191120|||||||||||||||||||||||||MIREASON^TESTING PRINTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING PRINTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114606|D|2.3|||AL|NE
PID|1||SM00041974|SM41900|ITSMITEST^SMH^IPCCG TEST1^^^^L||19880606|M||||||||||SM001754/18|
PV1|1|I
ORC|SC|CT20191120-0001SMH|||R
OBR|1|CT20191120-0001SMH||CT^HE^Head||20191120|||||||||||||||||||||||||MIREASON^TESTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114610|D|2.3|||AL|NE
PID|1||SM00041975|SM41901|ITSMITEST^SMH^IPCCG TEST2^^^^L||19560723|F||||||||||SM001755/18|
PV1|1|I
ORC|SC|US20191120-0001SMH|||R
OBR|1|US20191120-0001SMH||US^PE^Pelvis||20191120|||||||||||||||||||||||||MIREASON^TESTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114613|D|2.3|||AL|NE
PID|1||SM00041493|SM41432|ITSMITEST^SMHINPT^GREEN^^^^L||19450302|F||||||||||SM001029/18|9876062876
PV1|1|I
ORC|SC|RAD20191120-0002SMH|||R
OBR|1|RAD20191120-0002SMH||RAD^ZYA^Zygomatic Arches Bilateral||20191120|||||||||||||||||||||||||MIREASON^TESTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114616|D|2.3|||AL|NE
PID|1||SM00043175|SM43046|ITSMITEST^SMHTESTPT^WINTER^^^^L||19450201|M||||||||||SM003633/18|
PV1|1|I
ORC|SC|CT20181016-0001SMH|||R
OBR|1|CT20181016-0001SMH||CT^CHC^Chest Contrast||20181016|201810161558|201810161558|||||||||||||||||||||||MIREASON^REASON FOR EXAM
OBX|1|TX|MICANRES^Canadian Resident?||^Y
OBX|2|TX|MICOPIES^Total # of Copies to:||^2
OBX|3|CE|MICTPRIOE^Priority:||P1^Within 24hrs^CT PRIORITY OE
OBX|4|TX|MIPTREQDEL^Pt-Related Delay?||^N
OBX|5|CE|MIPTTYPE^Pt Type:||O^OUT PATIENT or OTHER HOSP^PATIENT TYPE
OBX|6|TX|MIREASON^Reason for Exam:||^REASON FOR EXAM
OBX|7|TX|MIREQDATE^Date Req Rec'd:||^20181016
OBX|8|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|9|TX|MITRANS^Transportation:||^Ambulatory
OBX|10|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114618|D|2.3|||AL|NE
PID|1||SM00043175|SM43046|ITSMITEST^SMHTESTPT^WINTER^^^^L||19450201|M||||||||||SM003633/18|
PV1|1|I
ORC|SC|RAD20191120-0003SMH|||R
OBR|1|RAD20191120-0003SMH||RAD^ABM^Abdomen Multi Views||20191120|||||||||||||||||||||||||MIREASON^TEST
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TEST
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114620|D|2.3|||AL|NE
PID|1||SM00043175|SM43046|ITSMITEST^SMHTESTPT^WINTER^^^^L||19450201|M||||||||||SM003633/18|
PV1|1|I
ORC|SC|RADM20191120-0001SMH|||R
OBR|1|RADM20191120-0001SMH||RADM^BRTSB^Breast Tissue Specimen Bilat||20191120|||||||||||||||||||||||||MIREASON^TEST
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TEST
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114622|D|2.3|||AL|NE
PID|1||SM00041973|SM41899|ITSMITEST^SMH^INPT CCGTESTING^^^^L||19780606|M||||||||||SM001753/18|9875989497
PV1|1|I
ORC|SC|RAD20191120-0001SMH|||R
OBR|1|RAD20191120-0001SMH||RAD^CH^Chest (CXR)||20191120|||||||||||||||||||||||||MIREASON^TESTING PRINTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING PRINTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114624|D|2.3|||AL|NE
PID|1||SM00041974|SM41900|ITSMITEST^SMH^IPCCG TEST1^^^^L||19880606|M||||||||||SM001754/18|
PV1|1|I
ORC|SC|CT20191120-0001SMH|||R
OBR|1|CT20191120-0001SMH||CT^HE^Head||20191120|||||||||||||||||||||||||MIREASON^TESTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses

MSH|^~\&||SMH|||201911270952||ORM^O01|4114626|D|2.3|||AL|NE
PID|1||SM00041975|SM41901|ITSMITEST^SMH^IPCCG TEST2^^^^L||19560723|F||||||||||SM001755/18|
PV1|1|I
ORC|SC|US20191120-0001SMH|||R
OBR|1|US20191120-0001SMH||US^PE^Pelvis||20191120|||||||||||||||||||||||||MIREASON^TESTING
OBX|1|TX|MICANRES^Canadian Resident?||^N
OBX|2|TX|MICOPIES^Total # of Copies to:||^1
OBX|3|TX|MIREASON^Reason for Exam:||^TESTING
OBX|4|TX|MIRESIDENT^NRC Agreement Signed?||^N
OBX|5|TX|MITRANS^Transportation:||^Ambulatory
OBX|6|CE|OEISO^Infection Control:||S^Standard/Routine^Isolation Responses