HRL Testing Tool 5/10/13 for HRL: Frl to Hl7 VXX.Hrl

HRL Testing Tool 5/10/13 for HRL: frl_to_hl7_VXX.hrl

Please Wait ......

Command Issued: hcihrltest -a -e ASCII -d 4 -f nl frl_to_hl7_VXX.hrl /hci/quovadx/cis5.8/integrator/bcbs_test/exec/processes/bcbs_siis/bcbs_hl7_load_unload_3ACK_2VXX_only.txt

Command output:

MESSAGE 3

Field Number: 1

Field Name: Type_01

Type: FRL

Record: Type01_HL7FR.frl

Offset: 000

Field Length: 800

Count: 001

--- Begin FRL Segment Type_01 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_Hdr_Rec_Type

0: ch >01<

HL7_Hdr_Rec_Msg_Type

0: ch >VXX<

HL7_Hdr_Path

0: ch >EDIP<

HL7_Hdr_Application

0: ch >PARADIGM<

HL7_Hdr_Control_No

0: ch >20120403154121<

HL7_Hdr_Oper_Id

0: ch <

HL7_Hdr_Data_Source

0: ch >QRS<

HL7_Hdr_Msg_Date_Cymd

0: ch >20130510<

HL7_Hdr_Msg_Time_HHMMSS

0: tm >09002104<

HL7_Hdr_Msg_Type_Code

0: ch >VXQ<

HL7_Hdr_Trigger_Event

0: ch >V01<

HL7_Hdr_Msg_Structure

0: ch <

HL7_Hdr_Field_Sep

0: ch >|<

HL7_Hdr_Encoding_Char

0: ch >^~\<

HL7_Hdr_Process_Id

0: ch >T<

HL7_Hdr_Version_Id

0: ch >2.3.1<

HL7_Hdr_FR_Vsn

0: ch <

HL7_Hdr_Cosite

0: ch <

HL7_Hdr_Sender_Id

0: ch <

HL7_Hdr_Sender_Id_Type

0: ch <

HL7_Hdr_Filler

0: ch <

---- End FRL Segment Type_01 ----

Field Number: 2

Field Name: Types_02_17

Type: HRL

Record: frl_types_02_17.hrl

Offset: 800

Field Length: 2400

Count: 002

RepeatWhileValue: 02

RepeatWhileField: Types_02_17.Type_02.HL7_Dem_Rec_Type

--- Begin HRL Segment Types_02_17(0) ---

Length of Repeat Field: 1600

Repeat Field Offset from Field: 0

Field Number: 2(0).1

Field Name: Types_02_17(0).Type_02

Type: FRL

Record: Type02_HL7FR.frl

Offset: 000

Field Length: 800

Count: 001

RepeatWhileValue: 02

RepeatWhileField: Type_02.HL7_Dem_Rec_Type

--- Begin FRL Segment Types_02_17(0).Type_02 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_Dem_Rec_Type

0: ch >02<

HL7_Dem_Msg_Type

0: ch >VXX<

HL7_Dem_Path

0: ch >EDIP<

HL7_Dem_Application

0: ch >PARADIGM<

HL7_Dem_Control_No

0: ch >20120403154121<

HL7_Dem_Oper_Id

0: ch <

HL7_Dem_Patient_No

0: ch >0000206918<

HL7_Dem_PCMS_Region_No

0: ch <

HL7_Dem_Provider_Pat_No

0: ch <

HL7_Dem_Birth_No

0: ch <

HL7_Dem_Birth_State

0: ch <

HL7_Dem_Pat_Name_Last

0: ch >BAKER<

HL7_Dem_Pat_Name_First

0: ch >CAKE<

HL7_Dem_Pat_Name_Mi

0: ch <

HL7_Dem_Mother_Maiden

0: ch <

HL7_Dem_DOB_CYMD

0: ch >20090101<

HL7_Dem_Sex

0: ch >M<

HL7_Dem_Alias

0: ch <

HL7_Dem_Race_1

0: ch >W<

HL7_Dem_Race_2

0: ch <

HL7_Dem_Race_3

0: ch <

HL7_Dem_Address_1

0: ch >123 MAIN

HL7_Dem_Address_2

0: ch <

HL7_Dem_City

0: ch >TAZEWELL<

HL7_Dem_State

0: ch >TN<

HL7_Dem_Zip

0: ch >37879<

HL7_Dem_County

0: ch >013<

HL7_Dem_Home_Phone_AEN

0: ch >4239999999<

HL7_Dem_Work_Phone_AEN

0: ch <

HL7_Dem_Primary_Language

0: ch >EN<

HL7_Dem_Marital_Status

0: ch <

HL7_Dem_Pat_SSN

0: ch >444444444<

HL7_Dem_Ethnic_Group

0: ch >NH<

HL7_Dem_Birth_Order

0: ch <

HL7_Dem_Nationality

0: ch <

HL7_Dem_Death_Date_CYMD

0: ch <

HL7_Dem_Death_Indicator

0: ch <

HL7_Dem_Regis_Status

0: ch >A<

HL7_Dem_Regis_Date_CYMD

0: ch >00010101<

HL7_Dem_NK1_Set_ID

0: ch <

HL7_Dem_Guard_Name_Last

0: ch >BAKER<

HL7_Dem_Guard_Name_First

0: ch >MAN<

HL7_Dem_Guard_Name_Mi

0: ch <

HL7_Dem_Relationship

0: ch >26<

HL7_Dem_Resp_Address_1

0: ch <

HL7_Dem_Resp_Address_2

0: ch <

HL7_Dem_Resp_City

0: ch <

HL7_Dem_Resp_State

0: ch <

HL7_Dem_Resp_Zip

0: ch <

HL7_Dem_Resp_Phone_AEN

0: ch <

HL7_Dem_Guard_SSN

0: ch <

HL7_Dem_VFC_Code

0: ch >03<

HL7_Dem_Patient_Id_Lab

0: ch <

HL7_Dem_Guar_DOB

0: ch <

HL7_Dem_Guar_Househld_Ann_Inc

0: ch >000000<

HL7_Dem_Guar_Househld_Size

0: ch >00<

HL7_Dem_Last_Shot_Prov_Type

0: ch >R<

HL7_Dem_Last_Shot_Provider_Code

0: ch >06301<

HL7_Dem_Allergy_1

0: ch <

HL7_Dem_Allergy_2

0: ch <

HL7_Dem_Allergy_3

0: ch <

HL7_Dem_Allergy_4

0: ch <

HL7_Dem_Ext_Id_Type_1

0: ch <

HL7_Dem_Ext_Identifier_1

0: ch <

HL7_Dem_Ext_Id_Type_2

0: ch <

HL7_Dem_Ext_Identifier_2

0: ch <

HL7_Dem_Last_Activity_Date

0: ch >20111003<

HL7_Dem_Last_Activity_Time

0: ch >10342119<

HL7_Dem_Filler

0: ch <

---- End FRL Segment Types_02_17(0).Type_02 ----

Field Number: 2(0).2

Field Name: Types_02_17(0).Type_17

Type: FRL

Record: Type17_HL7FR.frl

Offset: 800

Field Length: 800

Count: 001

RepeatWhileValue: 17

RepeatWhileField: Type_17.HL7_Dem2_Rec_Type

--- Begin FRL Segment Types_02_17(0).Type_17 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_Dem2_Rec_Type

0: ch >17<

HL7_Dem2_Msg_Type

0: ch >VXX<

HL7_Dem2_Path

0: ch >EDIP<

HL7_Dem2_Application

0: ch >PARADIGM<

HL7_Dem2_Control_No

0: ch >20120403154121<

HL7_Dem2_Oper_Id

0: ch <

HL7_Dem2_Secondary_Phone

0: ch <

HL7_Dem2_Email_Address

0: ch ><

HL7_Dem2_Death_Flag

0: ch <

HL7_Dem2_Death_Date

0: ch <

HL7_Dem2_Filler

0: ch <

---- End FRL Segment Types_02_17(0).Type_17 ----

---- End HRL Segment Types_02_17(0) ----

--- Begin HRL Segment Types_02_17(1) ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 1600

Field Number: 2(1).1

Field Name: Types_02_17(1).Type_02

Type: FRL

Record: Type02_HL7FR.frl

Offset: 000

Field Length: 800

Count: 001

RepeatWhileValue: 02

RepeatWhileField: Type_02.HL7_Dem_Rec_Type

--- Begin FRL Segment Types_02_17(1).Type_02 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_Dem_Rec_Type

0: ch >02<

HL7_Dem_Msg_Type

0: ch >VXX<

HL7_Dem_Path

0: ch >EDIP<

HL7_Dem_Application

0: ch >PARADIGM<

HL7_Dem_Control_No

0: ch >20120403154121<

HL7_Dem_Oper_Id

0: ch <

HL7_Dem_Patient_No

0: ch >0000206940<

HL7_Dem_PCMS_Region_No

0: ch <

HL7_Dem_Provider_Pat_No

0: ch <

HL7_Dem_Birth_No

0: ch <

HL7_Dem_Birth_State

0: ch <

HL7_Dem_Pat_Name_Last

0: ch >TOOTH<

HL7_Dem_Pat_Name_First

0: ch >SWEET<

HL7_Dem_Pat_Name_Mi

0: ch <

HL7_Dem_Mother_Maiden

0: ch <

HL7_Dem_DOB_CYMD

0: ch >20090101<

HL7_Dem_Sex

0: ch >M<

HL7_Dem_Alias

0: ch <

HL7_Dem_Race_1

0: ch >W<

HL7_Dem_Race_2

0: ch <

HL7_Dem_Race_3

0: ch <

HL7_Dem_Address_1

0: ch >1212 ST<

HL7_Dem_Address_2

0: ch <

HL7_Dem_City

0: ch >JACKSON

HL7_Dem_State

0: ch >TN<

HL7_Dem_Zip

0: ch >38301<

HL7_Dem_County

0: ch >057<

HL7_Dem_Home_Phone_AEN

0: ch >9014799999<

HL7_Dem_Work_Phone_AEN

0: ch <

HL7_Dem_Primary_Language

0: ch >EN<

HL7_Dem_Marital_Status

0: ch <

HL7_Dem_Pat_SSN

0: ch >444444444<

HL7_Dem_Ethnic_Group

0: ch >NH<

HL7_Dem_Birth_Order

0: ch <

HL7_Dem_Nationality

0: ch <

HL7_Dem_Death_Date_CYMD

0: ch <

HL7_Dem_Death_Indicator

0: ch <

HL7_Dem_Regis_Status

0: ch >A<

HL7_Dem_Regis_Date_CYMD

0: ch >00010101<

HL7_Dem_NK1_Set_ID

0: ch <

HL7_Dem_Guard_Name_Last

0: ch <

HL7_Dem_Guard_Name_First

0: ch <

HL7_Dem_Guard_Name_Mi

0: ch <

HL7_Dem_Relationship

0: ch <

HL7_Dem_Resp_Address_1

0: ch <

HL7_Dem_Resp_Address_2

0: ch <

HL7_Dem_Resp_City

0: ch <

HL7_Dem_Resp_State

0: ch <

HL7_Dem_Resp_Zip

0: ch <

HL7_Dem_Resp_Phone_AEN

0: ch <

HL7_Dem_Guard_SSN

0: ch <

HL7_Dem_VFC_Code

0: ch >01<

HL7_Dem_Patient_Id_Lab

0: ch <

HL7_Dem_Guar_DOB

0: ch <

HL7_Dem_Guar_Househld_Ann_Inc

0: ch >000000<

HL7_Dem_Guar_Househld_Size

0: ch >00<

HL7_Dem_Last_Shot_Prov_Type

0: ch >R<

HL7_Dem_Last_Shot_Provider_Code

0: ch >04726<

HL7_Dem_Allergy_1

0: ch <

HL7_Dem_Allergy_2

0: ch <

HL7_Dem_Allergy_3

0: ch <

HL7_Dem_Allergy_4

0: ch <

HL7_Dem_Ext_Id_Type_1

0: ch <

HL7_Dem_Ext_Identifier_1

0: ch <

HL7_Dem_Ext_Id_Type_2

0: ch <

HL7_Dem_Ext_Identifier_2

0: ch <

HL7_Dem_Last_Activity_Date

0: ch >20130415<

HL7_Dem_Last_Activity_Time

0: ch >14593800<

HL7_Dem_Filler

0: ch <

---- End FRL Segment Types_02_17(1).Type_02 ----

Field Number: 2(1).2 (empty)

Field Name: Types_02_17(1).Type_17

Type: FRL

Record: Type17_HL7FR.frl

Offset: 800

Field Length: 000

Count: 000

RepeatWhileValue: 17

RepeatWhileField: Type_17.HL7_Dem2_Rec_Type

---- End HRL Segment Types_02_17(1) ----

Field Number: 3

Field Name: Type_06

Type: FRL

Record: Type06_HL7FR.frl

Offset: 3200

Field Length: 800

Count: 001

--- Begin FRL Segment Type_06 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_ACK_Record_Type

0: ch >06<

HL7_ACK_Msg_Type

0: ch >VXX<

HL7_ACK_Path

0: ch >EDIP<

HL7_ACK_Application

0: ch >PARADIGM<

HL7_ACK_Control_No

0: ch >20120403154121<

HL7_ACK_Oper_Id

0: ch <

HL7_ACK_Code

0: ch >AA<

HL7_ACK_Msg_Control_ID

0: ch >20120403154121<

HL7_ACK_Message

0: ch >SUCCESSFUL PROCESS<

HL7_ACK_Error_Code

0: ch >0<

HL7_ACK_Filler

0: ch <

---- End FRL Segment Type_06 ----

Field Number: 4

Field Name: Type_07

Type: FRL

Record: Type07_HL7FR.frl

Offset: 4000

Field Length: 800

Count: 001

--- Begin FRL Segment Type_07 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_Query_Rec_Type

0: ch >07<

HL7_Query_Msg_Type

0: ch >VXX<

HL7_Query_Path

0: ch >EDIP<

HL7_Query_Application

0: ch >PARADIGM<

HL7_Query_Control_No

0: ch >20120403154121<

HL7_Query_Oper_Id

0: ch <

HL7_Query_Date_Time

0: ch >20120403154121<

HL7_Query_Format_Code

0: ch >R<

HL7_Query_Priority

0: ch >I<

HL7_Query_ID

0: ch >2012040315<

HL7_Query_Qty_Limit

0: ch >2000<

HL7_Query_What_Subj

0: ch >VXI<

HL7_Query_Dept

0: ch >SIIS<

HL7_Query_Where_Subj

0: ch >TNSIIS<

HL7_Query_Who_Reg_No

0: ch <

HL7_Query_Name_Last

0: ch <

HL7_Query_Name_First

0: ch <

HL7_Query_Name_MI

0: ch <

HL7_Query_DOB_CYMD

0: ch >20090101<

HL7_Query_Sex

0: ch >M<

HL7_Query_SSN

0: ch >444444444<

HL7_Query_Mother_Maiden

0: ch <

HL7_Query_Guard_Name_Last

0: ch <

HL7_Query_Street

0: ch <

HL7_Query_Address_2

0: ch <

HL7_Query_City

0: ch <

HL7_Query_State

0: ch <

HL7_Query_Zip

0: ch <

HL7_Query_Home_Phone

0: ch <

HL7_Query_Birth_Cert_No

0: ch <

HL7_Query_Birth_Order

0: ch <

HL7_Query_Birth_Facil

0: ch <

HL7_Query_Birth_County

0: ch <

HL7_Query_Birth_State

0: ch <

HL7_Query_Birth_Nation

0: ch <

HL7_Query_Medicaid_No

0: ch <

HL7_Query_Father_Last

0: ch <

HL7_Query_Father_First

0: ch <

HL7_Query_Father_MI

0: ch <

HL7_Query_Filler

0: ch <

---- End FRL Segment Type_07 ----

Field Number: 5

Field Name: Type_99

Type: FRL

Record: Type99_HL7FR.frl

Offset: 4800

Field Length: 800

Count: 001

--- Begin FRL Segment Type_99 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_FTR_Rec_Type

0: ch >99<

HL7_FTR_Msg_Type

0: ch >VXX<

HL7_FTR_Path

0: ch >EDIP<

HL7_FTR_Application

0: ch >PARADIGM<

HL7_FTR_Control_No

0: ch >20120403154121<

HL7_FTR_Oper_Id

0: ch <

HL7_FTR_Filler

0: ch <

---- End FRL Segment Type_99 ----

MESSAGE 5

Field Number: 1

Field Name: Type_01

Type: FRL

Record: Type01_HL7FR.frl

Offset: 000

Field Length: 800

Count: 001

--- Begin FRL Segment Type_01 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_Hdr_Rec_Type

0: ch >01<

HL7_Hdr_Rec_Msg_Type

0: ch >VXX<

HL7_Hdr_Path

0: ch >EDIP<

HL7_Hdr_Application

0: ch >PARADIGM<

HL7_Hdr_Control_No

0: ch >20120403154125<

HL7_Hdr_Oper_Id

0: ch <

HL7_Hdr_Data_Source

0: ch >QRS<

HL7_Hdr_Msg_Date_Cymd

0: ch >20130510<

HL7_Hdr_Msg_Time_HHMMSS

0: tm >09002142<

HL7_Hdr_Msg_Type_Code

0: ch >VXQ<

HL7_Hdr_Trigger_Event

0: ch >V01<

HL7_Hdr_Msg_Structure

0: ch <

HL7_Hdr_Field_Sep

0: ch >|<

HL7_Hdr_Encoding_Char

0: ch >^~\<

HL7_Hdr_Process_Id

0: ch >T<

HL7_Hdr_Version_Id

0: ch >2.3.1<

HL7_Hdr_FR_Vsn

0: ch <

HL7_Hdr_Cosite

0: ch <

HL7_Hdr_Sender_Id

0: ch <

HL7_Hdr_Sender_Id_Type

0: ch <

HL7_Hdr_Filler

0: ch <

---- End FRL Segment Type_01 ----

Field Number: 2

Field Name: Types_02_17

Type: HRL

Record: frl_types_02_17.hrl

Offset: 800

Field Length: 4000

Count: 001

RepeatWhileValue: 02

RepeatWhileField: Types_02_17.Type_02.HL7_Dem_Rec_Type

--- Begin HRL Segment Types_02_17 ---

Length of Repeat Field: 4000

Repeat Field Offset from Field: 0

Field Number: 2.1

Field Name: Types_02_17.Type_02

Type: FRL

Record: Type02_HL7FR.frl

Offset: 000

Field Length: 4000

Count: 005

RepeatWhileValue: 02

RepeatWhileField: Type_02.HL7_Dem_Rec_Type

--- Begin FRL Segment Types_02_17.Type_02(0) ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_Dem_Rec_Type

0: ch >02<

HL7_Dem_Msg_Type

0: ch >VXX<

HL7_Dem_Path

0: ch >EDIP<

HL7_Dem_Application

0: ch >PARADIGM<

HL7_Dem_Control_No

0: ch >20120403154125<

HL7_Dem_Oper_Id

0: ch <

HL7_Dem_Patient_No

0: ch >0000204489<

HL7_Dem_PCMS_Region_No

0: ch <

HL7_Dem_Provider_Pat_No

0: ch <

HL7_Dem_Birth_No

0: ch <

HL7_Dem_Birth_State

0: ch >TN<

HL7_Dem_Pat_Name_Last

0: ch >BEAVER<

HL7_Dem_Pat_Name_First

0: ch >JOSEPH<

HL7_Dem_Pat_Name_Mi

0: ch >H<

HL7_Dem_Mother_Maiden

0: ch <

HL7_Dem_DOB_CYMD

0: ch >19970719<

HL7_Dem_Sex

0: ch >M<

HL7_Dem_Alias

0: ch <

HL7_Dem_Race_1

0: ch >U<

HL7_Dem_Race_2

0: ch <

HL7_Dem_Race_3

0: ch <

HL7_Dem_Address_1

0: ch >121 KING STRRET<

HL7_Dem_Address_2

0: ch <

HL7_Dem_City

0: ch >NASHVEGAS<

HL7_Dem_State

0: ch >TN<

HL7_Dem_Zip

0: ch >38211<

HL7_Dem_County

0: ch <

HL7_Dem_Home_Phone_AEN

0: ch <

HL7_Dem_Work_Phone_AEN

0: ch <

HL7_Dem_Primary_Language

0: ch >OTH<

HL7_Dem_Marital_Status

0: ch <

HL7_Dem_Pat_SSN

0: ch >888888888<

HL7_Dem_Ethnic_Group

0: ch <

HL7_Dem_Birth_Order

0: ch <

HL7_Dem_Nationality

0: ch <

HL7_Dem_Death_Date_CYMD

0: ch <

HL7_Dem_Death_Indicator

0: ch <

HL7_Dem_Regis_Status

0: ch >A<

HL7_Dem_Regis_Date_CYMD

0: ch >00010101<

HL7_Dem_NK1_Set_ID

0: ch <

HL7_Dem_Guard_Name_Last

0: ch >LONG<

HL7_Dem_Guard_Name_First

0: ch <

HL7_Dem_Guard_Name_Mi

0: ch <

HL7_Dem_Relationship

0: ch >26<

HL7_Dem_Resp_Address_1

0: ch <

HL7_Dem_Resp_Address_2

0: ch <

HL7_Dem_Resp_City

0: ch <

HL7_Dem_Resp_State

0: ch <

HL7_Dem_Resp_Zip

0: ch <

HL7_Dem_Resp_Phone_AEN

0: ch <

HL7_Dem_Guard_SSN

0: ch <

HL7_Dem_VFC_Code

0: ch >01<

HL7_Dem_Patient_Id_Lab

0: ch <

HL7_Dem_Guar_DOB

0: ch <

HL7_Dem_Guar_Househld_Ann_Inc

0: ch >000000<

HL7_Dem_Guar_Househld_Size

0: ch >00<

HL7_Dem_Last_Shot_Prov_Type

0: ch >H<

HL7_Dem_Last_Shot_Provider_Code

0: ch >10000000000044<

HL7_Dem_Allergy_1

0: ch <

HL7_Dem_Allergy_2

0: ch <

HL7_Dem_Allergy_3

0: ch <

HL7_Dem_Allergy_4

0: ch <

HL7_Dem_Ext_Id_Type_1

0: ch <

HL7_Dem_Ext_Identifier_1

0: ch <

HL7_Dem_Ext_Id_Type_2

0: ch <

HL7_Dem_Ext_Identifier_2

0: ch <

HL7_Dem_Last_Activity_Date

0: ch >20111207<

HL7_Dem_Last_Activity_Time

0: ch >10330700<

HL7_Dem_Filler

0: ch <

---- End FRL Segment Types_02_17.Type_02(0) ----

--- Begin FRL Segment Types_02_17.Type_02(1) ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 800

HL7_Dem_Rec_Type

0: ch >02<

HL7_Dem_Msg_Type

0: ch >VXX<

HL7_Dem_Path

0: ch >EDIP<

HL7_Dem_Application

0: ch >PARADIGM<

HL7_Dem_Control_No

0: ch >20120403154125<

HL7_Dem_Oper_Id

0: ch <

HL7_Dem_Patient_No

0: ch >0000204953<

HL7_Dem_PCMS_Region_No

0: ch <

HL7_Dem_Provider_Pat_No

0: ch <

HL7_Dem_Birth_No

0: ch <

HL7_Dem_Birth_State

0: ch <

HL7_Dem_Pat_Name_Last

0: ch >EARLY<

HL7_Dem_Pat_Name_First

0: ch >MORNING<

HL7_Dem_Pat_Name_Mi

0: ch >R<

HL7_Dem_Mother_Maiden

0: ch <

HL7_Dem_DOB_CYMD

0: ch >20090101<

HL7_Dem_Sex

0: ch >M<

HL7_Dem_Alias

0: ch <

HL7_Dem_Race_1

0: ch >W<

HL7_Dem_Race_2

0: ch <

HL7_Dem_Race_3

0: ch <

HL7_Dem_Address_1

0: ch >345 ARBIES MAIN

HL7_Dem_Address_2

0: ch <

HL7_Dem_City

0: ch >COOKEVILLE

HL7_Dem_State

0: ch >TN<

HL7_Dem_Zip

0: ch >38501<

HL7_Dem_County

0: ch >071<

HL7_Dem_Home_Phone_AEN

0: ch >9312323444<

HL7_Dem_Work_Phone_AEN

0: ch <

HL7_Dem_Primary_Language

0: ch >EN<

HL7_Dem_Marital_Status

0: ch <

HL7_Dem_Pat_SSN

0: ch >888888888<

HL7_Dem_Ethnic_Group

0: ch >NH<

HL7_Dem_Birth_Order

0: ch <

HL7_Dem_Nationality

0: ch <

HL7_Dem_Death_Date_CYMD

0: ch <

HL7_Dem_Death_Indicator

0: ch <

HL7_Dem_Regis_Status

0: ch >A<

HL7_Dem_Regis_Date_CYMD

0: ch >00010101<

HL7_Dem_NK1_Set_ID

0: ch <

HL7_Dem_Guard_Name_Last

0: ch >EARLY<

HL7_Dem_Guard_Name_First

0: ch >SONA<

HL7_Dem_Guard_Name_Mi

0: ch <

HL7_Dem_Relationship

0: ch >26<

HL7_Dem_Resp_Address_1

0: ch <

HL7_Dem_Resp_Address_2

0: ch <

HL7_Dem_Resp_City

0: ch <

HL7_Dem_Resp_State

0: ch <

HL7_Dem_Resp_Zip

0: ch <

HL7_Dem_Resp_Phone_AEN

0: ch <

HL7_Dem_Guard_SSN

0: ch <

HL7_Dem_VFC_Code

0: ch <

HL7_Dem_Patient_Id_Lab

0: ch <

HL7_Dem_Guar_DOB

0: ch <

HL7_Dem_Guar_Househld_Ann_Inc

0: ch >000000<

HL7_Dem_Guar_Househld_Size

0: ch >00<

HL7_Dem_Last_Shot_Prov_Type

0: ch <

HL7_Dem_Last_Shot_Provider_Code

0: ch <

HL7_Dem_Allergy_1

0: ch <

HL7_Dem_Allergy_2

0: ch <

HL7_Dem_Allergy_3

0: ch <

HL7_Dem_Allergy_4

0: ch <

HL7_Dem_Ext_Id_Type_1

0: ch <

HL7_Dem_Ext_Identifier_1

0: ch <

HL7_Dem_Ext_Id_Type_2

0: ch <

HL7_Dem_Ext_Identifier_2

0: ch <

HL7_Dem_Last_Activity_Date

0: ch <

HL7_Dem_Last_Activity_Time

0: ch <

HL7_Dem_Filler

0: ch <

---- End FRL Segment Types_02_17.Type_02(1) ----

--- Begin FRL Segment Types_02_17.Type_02(2) ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 1600

HL7_Dem_Rec_Type

0: ch >02<

HL7_Dem_Msg_Type

0: ch >VXX<

HL7_Dem_Path

0: ch >EDIP<

HL7_Dem_Application

0: ch >PARADIGM<

HL7_Dem_Control_No

0: ch >20120403154125<

HL7_Dem_Oper_Id

0: ch <

HL7_Dem_Patient_No

0: ch >0000204994<

HL7_Dem_PCMS_Region_No

0: ch <

HL7_Dem_Provider_Pat_No

0: ch <

HL7_Dem_Birth_No

0: ch <

HL7_Dem_Birth_State

0: ch <

HL7_Dem_Pat_Name_Last

0: ch >LECTER<

HL7_Dem_Pat_Name_First

0: ch >HANNIBAL

HL7_Dem_Pat_Name_Mi

0: ch <

HL7_Dem_Mother_Maiden

0: ch <

HL7_Dem_DOB_CYMD

0: ch >20090101<

HL7_Dem_Sex

0: ch >M<

HL7_Dem_Alias

0: ch >CANNIBAL<

HL7_Dem_Race_1

0: ch >W<

HL7_Dem_Race_2

0: ch <

HL7_Dem_Race_3

0: ch <

HL7_Dem_Address_1

0: ch >24 GRAVEYARD TOMB NUMBER 1<

HL7_Dem_Address_2

0: ch <

HL7_Dem_City

0: ch >COOKEVILLE

HL7_Dem_State

0: ch >TN<

HL7_Dem_Zip

0: ch >38501<

HL7_Dem_County

0: ch >071<

HL7_Dem_Home_Phone_AEN

0: ch >9312346666<

HL7_Dem_Work_Phone_AEN

0: ch <

HL7_Dem_Primary_Language

0: ch >EN<

HL7_Dem_Marital_Status

0: ch <

HL7_Dem_Pat_SSN

0: ch >888888888<

HL7_Dem_Ethnic_Group

0: ch >NH<

HL7_Dem_Birth_Order

0: ch <

HL7_Dem_Nationality

0: ch <

HL7_Dem_Death_Date_CYMD

0: ch <

HL7_Dem_Death_Indicator

0: ch <

HL7_Dem_Regis_Status

0: ch >A<

HL7_Dem_Regis_Date_CYMD

0: ch >00010101<

HL7_Dem_NK1_Set_ID

0: ch <

HL7_Dem_Guard_Name_Last

0: ch >LECTER<

HL7_Dem_Guard_Name_First

0: ch >ROSE<

HL7_Dem_Guard_Name_Mi

0: ch <

HL7_Dem_Relationship

0: ch >26<

HL7_Dem_Resp_Address_1

0: ch <

HL7_Dem_Resp_Address_2

0: ch <

HL7_Dem_Resp_City

0: ch <

HL7_Dem_Resp_State

0: ch <

HL7_Dem_Resp_Zip

0: ch <

HL7_Dem_Resp_Phone_AEN

0: ch <

HL7_Dem_Guard_SSN

0: ch <

HL7_Dem_VFC_Code

0: ch <

HL7_Dem_Patient_Id_Lab

0: ch <

HL7_Dem_Guar_DOB

0: ch <

HL7_Dem_Guar_Househld_Ann_Inc

0: ch >000000<

HL7_Dem_Guar_Househld_Size

0: ch >00<

HL7_Dem_Last_Shot_Prov_Type

0: ch <

HL7_Dem_Last_Shot_Provider_Code

0: ch <

HL7_Dem_Allergy_1

0: ch <

HL7_Dem_Allergy_2

0: ch <

HL7_Dem_Allergy_3

0: ch <

HL7_Dem_Allergy_4

0: ch <

HL7_Dem_Ext_Id_Type_1

0: ch <

HL7_Dem_Ext_Identifier_1

0: ch <

HL7_Dem_Ext_Id_Type_2

0: ch <

HL7_Dem_Ext_Identifier_2

0: ch <

HL7_Dem_Last_Activity_Date

0: ch <

HL7_Dem_Last_Activity_Time

0: ch <

HL7_Dem_Filler

0: ch <

---- End FRL Segment Types_02_17.Type_02(2) ----

--- Begin FRL Segment Types_02_17.Type_02(3) ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 2400

HL7_Dem_Rec_Type

0: ch >02<

HL7_Dem_Msg_Type

0: ch >VXX<

HL7_Dem_Path

0: ch >EDIP<

HL7_Dem_Application

0: ch >PARADIGM<

HL7_Dem_Control_No

0: ch >20120403154125<

HL7_Dem_Oper_Id

0: ch <

HL7_Dem_Patient_No

0: ch >0000207790<

HL7_Dem_PCMS_Region_No

0: ch <

HL7_Dem_Provider_Pat_No

0: ch <

HL7_Dem_Birth_No

0: ch <

HL7_Dem_Birth_State

0: ch <

HL7_Dem_Pat_Name_Last

0: ch >LOUDON<

HL7_Dem_Pat_Name_First

0: ch >JONATHAN<

HL7_Dem_Pat_Name_Mi

0: ch >X<

HL7_Dem_Mother_Maiden

0: ch <

HL7_Dem_DOB_CYMD

0: ch >20000504<

HL7_Dem_Sex

0: ch >M<

HL7_Dem_Alias

0: ch <

HL7_Dem_Race_1

0: ch >U<

HL7_Dem_Race_2

0: ch <

HL7_Dem_Race_3

0: ch <

HL7_Dem_Address_1

0: ch >3402 RIDGEWAY ROAD

HL7_Dem_Address_2

0: ch <

HL7_Dem_City

0: ch >LOUDON<

HL7_Dem_State

0: ch >TN<

HL7_Dem_Zip

0: ch >37444<

HL7_Dem_County

0: ch >44<

HL7_Dem_Home_Phone_AEN

0: ch <

HL7_Dem_Work_Phone_AEN

0: ch <

HL7_Dem_Primary_Language

0: ch >TL<

HL7_Dem_Marital_Status

0: ch <

HL7_Dem_Pat_SSN

0: ch >888888888<

HL7_Dem_Ethnic_Group

0: ch >NH<

HL7_Dem_Birth_Order

0: ch <

HL7_Dem_Nationality

0: ch <

HL7_Dem_Death_Date_CYMD

0: ch <

HL7_Dem_Death_Indicator

0: ch <

HL7_Dem_Regis_Status

0: ch >A<

HL7_Dem_Regis_Date_CYMD

0: ch >00010101<

HL7_Dem_NK1_Set_ID

0: ch <

HL7_Dem_Guard_Name_Last

0: ch <

HL7_Dem_Guard_Name_First

0: ch <

HL7_Dem_Guard_Name_Mi

0: ch <

HL7_Dem_Relationship

0: ch <

HL7_Dem_Resp_Address_1

0: ch <

HL7_Dem_Resp_Address_2

0: ch <

HL7_Dem_Resp_City

0: ch <

HL7_Dem_Resp_State

0: ch <

HL7_Dem_Resp_Zip

0: ch <

HL7_Dem_Resp_Phone_AEN

0: ch <

HL7_Dem_Guard_SSN

0: ch <

HL7_Dem_VFC_Code

0: ch >02<

HL7_Dem_Patient_Id_Lab

0: ch <

HL7_Dem_Guar_DOB

0: ch <

HL7_Dem_Guar_Househld_Ann_Inc

0: ch >000000<

HL7_Dem_Guar_Househld_Size

0: ch >00<

HL7_Dem_Last_Shot_Prov_Type

0: ch <

HL7_Dem_Last_Shot_Provider_Code

0: ch <

HL7_Dem_Allergy_1

0: ch <

HL7_Dem_Allergy_2

0: ch <

HL7_Dem_Allergy_3

0: ch <

HL7_Dem_Allergy_4

0: ch <

HL7_Dem_Ext_Id_Type_1

0: ch <

HL7_Dem_Ext_Identifier_1

0: ch <

HL7_Dem_Ext_Id_Type_2

0: ch <

HL7_Dem_Ext_Identifier_2

0: ch <

HL7_Dem_Last_Activity_Date

0: ch >20111202<

HL7_Dem_Last_Activity_Time

0: ch >10491977<

HL7_Dem_Filler

0: ch <

---- End FRL Segment Types_02_17.Type_02(3) ----

--- Begin FRL Segment Types_02_17.Type_02(4) ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 3200

HL7_Dem_Rec_Type

0: ch >02<

HL7_Dem_Msg_Type

0: ch >VXX<

HL7_Dem_Path

0: ch >EDIP<

HL7_Dem_Application

0: ch >PARADIGM<

HL7_Dem_Control_No

0: ch >20120403154125<

HL7_Dem_Oper_Id

0: ch <

HL7_Dem_Patient_No

0: ch >0000200185<

HL7_Dem_PCMS_Region_No

0: ch <

HL7_Dem_Provider_Pat_No

0: ch <

HL7_Dem_Birth_No

0: ch <

HL7_Dem_Birth_State

0: ch <

HL7_Dem_Pat_Name_Last

0: ch >TEST<

HL7_Dem_Pat_Name_First

0: ch >BRAD<

HL7_Dem_Pat_Name_Mi

0: ch <

HL7_Dem_Mother_Maiden

0: ch <

HL7_Dem_DOB_CYMD

0: ch >20010224<

HL7_Dem_Sex

0: ch >M<

HL7_Dem_Alias

0: ch <

HL7_Dem_Race_1

0: ch >U<

HL7_Dem_Race_2

0: ch <

HL7_Dem_Race_3

0: ch <

HL7_Dem_Address_1

0: ch >123<

HL7_Dem_Address_2

0: ch <

HL7_Dem_City

0: ch >JOHNSON CITY

HL7_Dem_State

0: ch >TN<

HL7_Dem_Zip

0: ch >37604<

HL7_Dem_County

0: ch >1<

HL7_Dem_Home_Phone_AEN

0: ch >4239793200<

HL7_Dem_Work_Phone_AEN

0: ch <

HL7_Dem_Primary_Language

0: ch >OTH<

HL7_Dem_Marital_Status

0: ch <

HL7_Dem_Pat_SSN

0: ch >888888888<

HL7_Dem_Ethnic_Group

0: ch <

HL7_Dem_Birth_Order

0: ch <

HL7_Dem_Nationality

0: ch <

HL7_Dem_Death_Date_CYMD

0: ch <

HL7_Dem_Death_Indicator

0: ch <

HL7_Dem_Regis_Status

0: ch >A<

HL7_Dem_Regis_Date_CYMD

0: ch >20020101<

HL7_Dem_NK1_Set_ID

0: ch <

HL7_Dem_Guard_Name_Last

0: ch <

HL7_Dem_Guard_Name_First

0: ch <

HL7_Dem_Guard_Name_Mi

0: ch <

HL7_Dem_Relationship

0: ch <

HL7_Dem_Resp_Address_1

0: ch <

HL7_Dem_Resp_Address_2

0: ch <

HL7_Dem_Resp_City

0: ch <

HL7_Dem_Resp_State

0: ch <

HL7_Dem_Resp_Zip

0: ch <

HL7_Dem_Resp_Phone_AEN

0: ch <

HL7_Dem_Guard_SSN

0: ch <

HL7_Dem_VFC_Code

0: ch >01<

HL7_Dem_Patient_Id_Lab

0: ch <

HL7_Dem_Guar_DOB

0: ch <

HL7_Dem_Guar_Househld_Ann_Inc

0: ch >000000<

HL7_Dem_Guar_Househld_Size

0: ch >00<

HL7_Dem_Last_Shot_Prov_Type

0: ch >R<

HL7_Dem_Last_Shot_Provider_Code

0: ch <

HL7_Dem_Allergy_1

0: ch <

HL7_Dem_Allergy_2

0: ch <

HL7_Dem_Allergy_3

0: ch <

HL7_Dem_Allergy_4

0: ch <

HL7_Dem_Ext_Id_Type_1

0: ch <

HL7_Dem_Ext_Identifier_1

0: ch <

HL7_Dem_Ext_Id_Type_2

0: ch <

HL7_Dem_Ext_Identifier_2

0: ch <

HL7_Dem_Last_Activity_Date

0: ch >20121017<

HL7_Dem_Last_Activity_Time

0: ch >10045400<

HL7_Dem_Filler

0: ch <

---- End FRL Segment Types_02_17.Type_02(4) ----

Field Number: 2.2 (empty)

Field Name: Types_02_17.Type_17

Type: FRL

Record: Type17_HL7FR.frl

Offset: 4000

Field Length: 000

Count: 000

RepeatWhileValue: 17

RepeatWhileField: Type_17.HL7_Dem2_Rec_Type

---- End HRL Segment Types_02_17 ----

Field Number: 3

Field Name: Type_06

Type: FRL

Record: Type06_HL7FR.frl

Offset: 4800

Field Length: 800

Count: 001

--- Begin FRL Segment Type_06 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_ACK_Record_Type

0: ch >06<

HL7_ACK_Msg_Type

0: ch >VXX<

HL7_ACK_Path

0: ch >EDIP<

HL7_ACK_Application

0: ch >PARADIGM<

HL7_ACK_Control_No

0: ch >20120403154125<

HL7_ACK_Oper_Id

0: ch <

HL7_ACK_Code

0: ch >AA<

HL7_ACK_Msg_Control_ID

0: ch >20120403154125<

HL7_ACK_Message

0: ch >SUCCESSFUL PROCESS<

HL7_ACK_Error_Code

0: ch >0<

HL7_ACK_Filler

0: ch <

---- End FRL Segment Type_06 ----

Field Number: 4

Field Name: Type_07

Type: FRL

Record: Type07_HL7FR.frl

Offset: 5600

Field Length: 800

Count: 001

--- Begin FRL Segment Type_07 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_Query_Rec_Type

0: ch >07<

HL7_Query_Msg_Type

0: ch >VXX<

HL7_Query_Path

0: ch >EDIP<

HL7_Query_Application

0: ch >PARADIGM<

HL7_Query_Control_No

0: ch >20120403154125<

HL7_Query_Oper_Id

0: ch <

HL7_Query_Date_Time

0: ch >20120403154125<

HL7_Query_Format_Code

0: ch >R<

HL7_Query_Priority

0: ch >I<

HL7_Query_ID

0: ch >2012040315<

HL7_Query_Qty_Limit

0: ch >2000<

HL7_Query_What_Subj

0: ch >VXI<

HL7_Query_Dept

0: ch >SIIS<

HL7_Query_Where_Subj

0: ch >TNSIIS<

HL7_Query_Who_Reg_No

0: ch <

HL7_Query_Name_Last

0: ch <

HL7_Query_Name_First

0: ch <

HL7_Query_Name_MI

0: ch <

HL7_Query_DOB_CYMD

0: ch <

HL7_Query_Sex

0: ch >M<

HL7_Query_SSN

0: ch >888888888<

HL7_Query_Mother_Maiden

0: ch <

HL7_Query_Guard_Name_Last

0: ch <

HL7_Query_Street

0: ch <

HL7_Query_Address_2

0: ch <

HL7_Query_City

0: ch <

HL7_Query_State

0: ch <

HL7_Query_Zip

0: ch <

HL7_Query_Home_Phone

0: ch <

HL7_Query_Birth_Cert_No

0: ch <

HL7_Query_Birth_Order

0: ch <

HL7_Query_Birth_Facil

0: ch <

HL7_Query_Birth_County

0: ch <

HL7_Query_Birth_State

0: ch <

HL7_Query_Birth_Nation

0: ch <

HL7_Query_Medicaid_No

0: ch <

HL7_Query_Father_Last

0: ch <

HL7_Query_Father_First

0: ch <

HL7_Query_Father_MI

0: ch <

HL7_Query_Filler

0: ch <

---- End FRL Segment Type_07 ----

Field Number: 5

Field Name: Type_99

Type: FRL

Record: Type99_HL7FR.frl

Offset: 6400

Field Length: 800

Count: 001

--- Begin FRL Segment Type_99 ---

Length of Repeat Field: 800

Repeat Field Offset from Field: 0

HL7_FTR_Rec_Type

0: ch >99<

HL7_FTR_Msg_Type

0: ch >VXX<

HL7_FTR_Path

0: ch >EDIP<

HL7_FTR_Application

0: ch >PARADIGM<

HL7_FTR_Control_No

0: ch >20120403154125<

HL7_FTR_Oper_Id

0: ch <

HL7_FTR_Filler

0: ch <

---- End FRL Segment Type_99 ----