MSH|^~\&|ITS||||201912021332||ORU^R01|4121875|D|2.3|||AL|NE
PID|1|FHATVIG0007391|LM00005039|LM4924|VCFERDIG^PLIS||19830926|F||||||||||LM000528/18|9698689076
PV1|1|I
OBR|1|||||201912021321|201912021320|201912021320||||||||||||AUD|EVALUATION||||D||||||
OBX|1|TX|||          \H\NAME\N\:   VCFERDIG,PLIS           
OBX|2|TX|||         \H\ACCT#\N\:   LM000528/18    \H\UNIT#\N\:  LM00005039     
OBX|3|TX|||         \H\ADM DT\N\:   11/01/19    \H\PHN\N\:  9698689076     
OBX|4|TX|||\H\Audiology\N\         \H\LOC\N\:   LM-AP    \H\RM/B\N\:  LMAP-08-1     
OBX|5|TX|||\H\Evaluation\N\         \H\DOB\N\:   26/09/1983    \H\A/S\N\:  36 F     
OBX|6|TX|||         \H\REG CAT\N\:   L.ACU           
OBX|7|TX|||         \H\ATT DR\N\:   SEUSS *TEST,THEODORE *TEST* G           
OBX|8|TX|||         \H\FAM DR\N\:   SEUSS *TEST,THEODORE *TEST* G           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\H\ AUDIOLOGY EVALUATION  
OBX|11|TX|||\N\  
OBX|12|TX|||Date: 02/12/19  
OBX|13|TX|||\H\  
OBX|14|TX|||\ZHU\Audiogram\N\: [*]  
OBX|15|TX|||\H\  
OBX|16|TX|||\ZHU\Otoacoustic Emissions\N\: [*]  
OBX|17|TX|||\H\  
OBX|18|TX|||\ZHU\Speech Audiometry\N\: [*]  
OBX|19|TX|||\H\  
OBX|20|TX|||\ZHU\Tympanogram/Acoustic Reflex Threshold\N\: [*]  
OBX|21|TX|||\H\  
OBX|22|TX|||\ZHU\Otoscopic Exam\N\: [*]  
OBX|23|TX|||\H\  
OBX|24|TX|||\ZHU\Comments\N\: [*]  
OBX|25|TX|||  
OBX|26|TX|||MT_ITS_TS_08_Clinical documents_ITS_View signed report with addendum changed from draft to signed status  
OBX|27|TX|||  
OBX|28|TX|||\ZI\Brianne Bourdon,  \N\Audiologist  
OBX|29|TX|||Date/Time:  \ZU\02/12/19\N\  \ZU\1320  
OBX|30|TX|||\N\  
OBX|31|TX|||cc: [*]  
OBX|32|TX|||\ZU\                                                                                                                                                           
OBX|33|TX|||\H\ADDENDUM  
OBX|34|TX|||  
OBX|35|TX|||\N\MT_ITS_TS_08_Clinical documents_ITS_View signed report with addendum changed from draft to signed status - TEST  
OBX|36|TX|||Signed By:   \ZIU\Brianne Bourdon  
OBX|37|TX|||\N\Date/Time:   \ZU\02/12/19\N\ \ZU\1328