MSH|^~\&|EMR_VENDOR|SENDING_FAC|CHIRP|OR|20140521143722.057||VX U^V04^VXU_V04|2014052115856822|P|2.5.1|||AL| PID|1||123456^^^^MR||TEST_PATIENT^CHIRP^^^^^L||200001010000|F||21 31-1^Undefined Race^CDCREC|||||EN||VAR|||||UN^Unknown^99USI||||||||N PD1|||| ||||U|||01^No Reminder^HL70215|N|20140521||Y^Advanced Directive Code - Y|A|20140521|20140521 PV1||||||||||MED RXA|0|1|201405211437|201405211437|03^MMR^CVX|0.5|mL^milliliter^UC UM||00^New Immunization Record^NIP001|ABC123^RABBIT^BUNNY^^^^^^TEST|1234ABC^^^CHIRP TEST FACILITY||||6622554411||AB^Abbott Laboratories^MVX|||CP|A RXR|SUBQ^^HL70162|LD^LEFT DELTOID^HL70163||^SUBCUTANEOUS OBX|1|CE|64994-7^Vaccine funding program eligibility category^LN|1|V01||||||F|||20140521|||VXC40^Eligibility captured at the immunization level^CDCPHINVS OBX|2|CE|30956-7^vaccine type^LN|2|||||||F OBX|3|TS|29768-9^Date vaccine information statement published^LN|2|20140101||||||F OBX|4|TS|29769-7^Date vaccine information statement presented^LN|2|20140521||||||