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  1. MSH|^~\&|M32|sampleedi||sampleedi|200605181403|PKI|REF^Z16|18052006140317|P|2.3
  2. ZRD|RC||DRF|||18052006140317||||SUBJECT^Sample Discharge Summary||||Y
  3. PRD|UP|SAMPLE^PROVIDER^^^DR|48 Market Place^^SOMEWHERE||||SP12345
  4. PRD|RP|SAMPLE^PROVIDER^^^DR|48 Market Place^^SOMEWHERE||||SP12345
  5. PID||SAM1234|X000108||SAMPLE^PATIENT^^^MRS||19780705|F|||88 Some Street^^SOMEWHERE^^^P||5556328|5558638
  6. NTE|1||\N\
  7. NTE|1||Discharge Summary
  8. NTE|1||\N\
  9. NTE|1||Name: (Last, First MI)
  10. NTE|1||DOB: (d/m /yy)
  11. NTE|1||Date of admission: (d/m/yy)
  12. NTE|1||Date of discharge: (d/m/yy)
  13. NTE|1||Date of report: (d/m/yy)
  14. NTE|1||\N\
  15. NTE|1||Reason for discharge:-
  16. NTE|1||\N\
  17. NTE|1||\N\
  18. NTE|1||Summary list of the treatment or services provided to the recipient:-
  19. NTE|1||\N\
  20. NTE|1||Rx:90 - Augmentin Grans For Oral Liq 125 Mg With - 3 ml, Three Times Daily for 10
  21. NTE|1||\N\
  22. NTE|1||\N\
  23. NTE|1||Diagnosis at discharge:-
  24. NTE|1||\N\
  25. NTE|1||Dx:Sick headache (F2611.00)
  26. NTE|1||Dx:Stroke - cerebral art occlus (G64.13)
  27. PV1|||||||A88984-3^Entwistle^Sam Any^^^DR|||||||||||||||||||||||||||||||||||||200605181401
  28. PV2|||||||||||0||||||||||||Family Practice
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