CE_INFECT_Low_No   0001 202110011  A7982                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    A7982 GROUP=K Add                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0002 202110011  E75244                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    E75244 GROUP=K Add                                                    VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_Hi   0003 202110011  A001    F32A    I70334                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    F32A IN SDX High COMORBIDITY HIPPSPOS4=3 Add                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CE_BHEALTH_Low_No  0004 202110011  F32A                                                                                                                                                                                                                                            000000000100000000000000                                                                                                                                                                                    F32A GROUP=F Add                                                      VER=03.0.21 HIPPS=1FA11 GVF=00 GRC=00              03.0.211FA110000                                                                                  %
CE_BHEALTH_Low_No  0005 202110011  F78A1                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    F78A1 GROUP=F Add                                                     VER=03.0.21 HIPPS=1FA11 GVF=00 GRC=00              03.0.211FA110000                                                                                  %
CE_BHEALTH_Low_No  0006 202110011  F78A9                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    F78A9 GROUP=F Add                                                     VER=03.0.21 HIPPS=1FA11 GVF=00 GRC=00              03.0.211FA110000                                                                                  %
CE_NEURRHB_Low_No  0007 202110011  G0482                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    G0482 GROUP=B Add                                                     VER=03.0.21 HIPPS=1BA11 GVF=00 GRC=00              03.0.211BA110000                                                                                  %
CE_MUSCRHB_Low_No  0008 202110011  G4486                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    G4486 GROUP=E Add                                                     VER=03.0.21 HIPPS=1EA11 GVF=00 GRC=00              03.0.211EA110000                                                                                  %
CE_GI/GU_Low_No    0009 202110011  K31A21                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    K31A21 GROUP=J Add                                                    VER=03.0.21 HIPPS=1JA11 GVF=00 GRC=00              03.0.211JA110000                                                                                  %
CE_GI/GU_Low_No    0010 202110011  K31A22                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    K31A22 GROUP=J Add                                                    VER=03.0.21 HIPPS=1JA11 GVF=00 GRC=00              03.0.211JA110000                                                                                  %
CE_GI/GU_Low_No    0011 202110011  K31A29                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    K31A29 GROUP=J Add                                                    VER=03.0.21 HIPPS=1JA11 GVF=00 GRC=00              03.0.211JA110000                                                                                  %
CE_OTHER_Low_No    0012 202110011  M3110                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    M3110 GROUP=A Add                                                     VER=03.0.21 HIPPS=1AA11 GVF=00 GRC=00              03.0.211AA110000                                                                                  %
NOST_NA_NA_NA RC05 0013 202110011  M3111                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    CLINICAL_GROUP=NA PDX POS                                             VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0014 202110011  A001    M3111                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    M3111 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_OTHER_Low_No    0015 202110011  M3119                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    M3119 GROUP=A Add                                                     VER=03.0.21 HIPPS=1AA11 GVF=00 GRC=00              03.0.211AA110000                                                                                  %
CE_MUSCRHB_Low_No  0016 202110011  M350C                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    M350C GROUP=E Add                                                     VER=03.0.21 HIPPS=1EA11 GVF=00 GRC=00              03.0.211EA110000                                                                                  %
CE_INFECT_Low_No   0017 202110011  A001    M45A0                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    M45A0 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_MUSCRHB_Low_No  0018 202110011  M45A1                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    M45A1 GROUP=E Add                                                     VER=03.0.21 HIPPS=1EA11 GVF=00 GRC=00              03.0.211EA110000                                                                                  %
CE_MUSCRHB_Low_No  0019 202110011  M45A2                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    M45A2 GROUP=E Add                                                     VER=03.0.21 HIPPS=1EA11 GVF=00 GRC=00              03.0.211EA110000                                                                                  %
CE_MUSCRHB_Low_No  0020 202110011  M45A3                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    M45A3 GROUP=E Add                                                     VER=03.0.21 HIPPS=1EA11 GVF=00 GRC=00              03.0.211EA110000                                                                                  %
CE_INFECT_Low_No   0021 202110011  A001    M5450                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    M5450 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_OTHER_Low_No    0022 202110011  P091                                                                                                                                                                                                                                            000000000100000000000000                                                                                                                                                                                    P091 GROUP=A Add                                                      VER=03.0.21 HIPPS=1AA11 GVF=00 GRC=00              03.0.211AA110000                                                                                  %
CE_INFECT_Low_No   0023 202110011  A001    R051                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                    R051 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                    VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0024 202110011  A001    R6332                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    R6332 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0025 202110011  A001    R6339                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    R6339 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0026 202110011  D8944                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    D8944 GROUP=K Add                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0027 202110011  A001    T40715A                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    T40715A GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0028 202110011  A001    Y35899A                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    Y35899A GROUP=NA Add IN SDX ECOI_FLAG=1                               VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0029 202110011  A001    Y35899D                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    Y35899D GROUP=NA Add IN SDX ECOI_FLAG=1                               VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0030 202110011  A001    Y35899S                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    Y35899S GROUP=NA Add IN SDX ECOI_FLAG=1                               VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0031 202110011  A001    Z7185                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    Z7185 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0032 202110011  A001    Z91014                                                                                                                                                                                                                                  000000000100000000000000                                                                                                                                                                                    Z91014 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                  VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0033 202110011  E75244                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    E75244 GROUP=K Add                                                    VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC03 0034 202101011  T40715A                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    T40715A INVALID FROM DATE PREVIOUS DATE FOR A                         VER=02.1.21 HIPPS=00000 GRC=03                     02.1.21000000003                                                                                  %
NOST_NA_NA_NA RC05 0035 202110011  T40715A                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0036 202110011  A001    T40715A                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    T40715A GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC03 0037 202101011  T8082XD                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    T8082XD INVALID FROM DATE PREVIOUS DATE FOR A                         VER=02.1.21 HIPPS=00000 GRC=03                     02.1.21000000003                                                                                  %
NOST_NA_NA_NA RC05 0038 202110011  Y35899A                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    ECOI_FLAG=1 PDX Restriction                                           VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0039 202110011  A001    Y35899A                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    Y35899A GROUP=NA Add IN SDX ECOI_FLAG=1                               VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC03 0040 202101011  Y35899D                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    Y35899D INVALID FROM DATE PREVIOUS DATE FOR A                         VER=02.1.21 HIPPS=00000 GRC=03                     02.1.21000000003                                                                                  %
CMINTERACTID=1     0041 202110011  A001    F314    L97416                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=2     0042 202110011  A001    I69064  I1310                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=3     0043 202110011  A001    I69932  R001                                                                                                                                                                                                                            000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=4     0044 202110011  A001    I69122  I5021                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=5     0045 202110011  A001    I69865  E1040                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=6     0046 202110011  A001    I132    L02612                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=7     0047 202110011  A001    I132    I70444                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=8     0048 202110011  A001    I130    L89620                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=9     0049 202110011  A001    E113491 G20                                                                                                                                                                                                                             000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=10    0050 202110011  A001    E103531 G8193                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
MULTI COMOR PRESENT0051 20211001161A001    M05512  E1359                                                                                                                                                                                                                           111111111002020202020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=2KB11 GVF=00 GRC=00              03.0.212KB110000                                                                                  %
MULTI COMOR PRESENT0052 20211001161A000    C561    C8206                                                                                                                                                                                                                           111111111002020202020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=2KB11 GVF=00 GRC=00              03.0.212KB110000                                                                                  %
MULTI COMOR PRESENT0053 20211001161A000    F312    J8489                                                                                                                                                                                                                           111111111002020202020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=2KB11 GVF=00 GRC=00              03.0.212KB110000                                                                                  %
1 COMOR PRESENT    0054 20211001161A000    C8335                                                                                                                                                                                                                                   111111111002020202020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=2KB11 GVF=00 GRC=00              03.0.212KB110000                                                                                  %
LOW COMOR PRESENT  0055 20211001161A000    L8945                                                                                                                                                                                                                                   111111111002020202020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=2KB21 GVF=00 GRC=00              03.0.212KB210000                                                                                  %
MULTI LOW COMOR PRE0056 20211001161A001    I69290  I69162  I69032                                                                                                                                                                                                                  111111111002020202020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=2KB21 GVF=00 GRC=00              03.0.212KB210000                                                                                  %
SUBCHAPTER A00-A09 0057 20211001161A048    A073                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER A15-A19 0058 20211001161A1811   A156                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER A20-A28 0059 20211001161A282    A281                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER A30-A49 0060 20211001161A301    A3686                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER A50-A64 0061 20211001161A6009   A5403                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER A65-A69 0062 20211001161A691    A6929                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER A70-A74 0063 20211001161A719    A7489                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER A75-A79 0064 20211001161A759    A7740                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER A80-A89 0065 20211001161A811    A8489                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2BA11                                        03.0.212BA110000                                                                                  %
SUBCHAPTER A90-A99 0066 20211001161A968    A925                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER B00-B09 0067 20211001161B0681   B003                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER B10-B10 0068 20211001161B1009   B1082                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2BA11                                        03.0.212BA110000                                                                                  %
SUBCHAPTER B15-B19 0069 20211001161B190    B189                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER B20-B20 0070 20211001161B20     B20                                                                                                                                                                                                                                     000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER B25-B34 0071 20211001161B250    B2781                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER B35-B49 0072 20211001161B387    B4282                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER B50-B64 0073 20211001161B6000   B575                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER B65-B83 0074 20211001161B663    B7309                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER B85-B89 0075 20211001161B850    B852                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
SUBCHAPTER C00-C14 0076 20211001161C028    C103                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                                                                                          HIPPS=2KA11                                        03.0.212KA110000                                                                                  %
CMINTERACTID=21    0077 202110011  A001    E1142   G214                                                                                                                                                                                                                            000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CMINTERACTID=22    0078 202110011  A001    F068    L89116                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1KA31 GVF=00 GRC=00              03.0.211KA310000                                                                                  %
CE_INFECT_Low_No   0079 202110011  A001                                                                                                                                                                                                                                            000000000100000103040003                                                                 CATPTS:29 M1033_ALL:0 M1800:00 M1810:00 M1820:01 M1830:03 M1840:04 M1850:00 M1860:03                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Med_No   0080 202110011  A001                                                                                                                                                                                                                                            000000000100010004030005                                                                 CATPTS:41 M1033_ALL:0 M1800:00 M1810:01 M1820:00 M1830:04 M1840:03 M1850:00 M1860:05                                                                                                     VER=03.0.21 HIPPS=1KB11 GVF=00 GRC=00              03.0.211KB110000                                                                                  %
CE_INFECT_Low_No   0081 202110011  A001                                                                                                                                                                                                                                            000000000100000103030100                                                                 CATPTS:21 M1033_ALL:0 M1800:00 M1810:00 M1820:01 M1830:03 M1840:03 M1850:01 M1860:00                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0082 202110011  A001                                                                                                                                                                                                                                            000000000101010003020102                                                                 CATPTS:30 M1033_ALL:0 M1800:01 M1810:01 M1820:00 M1830:03 M1840:02 M1850:01 M1860:02                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0083 202110011  A001                                                                                                                                                                                                                                            000000000100010004030103                                                                 CATPTS:32 M1033_ALL:0 M1800:00 M1810:01 M1820:00 M1830:04 M1840:03 M1850:01 M1860:03                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Med_No   0084 202110011  A001                                                                                                                                                                                                                                            000000000101010104020104                                                                 CATPTS:44 M1033_ALL:0 M1800:01 M1810:01 M1820:01 M1830:04 M1840:02 M1850:01 M1860:04                                                                                                     VER=03.0.21 HIPPS=1KB11 GVF=00 GRC=00              03.0.211KB110000                                                                                  %
CE_INFECT_Low_No   0085 202110011  A001                                                                                                                                                                                                                                            000000000101000104030300                                                                 CATPTS:25 M1033_ALL:0 M1800:01 M1810:00 M1820:01 M1830:04 M1840:03 M1850:03 M1860:00                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0086 202110011  A001                                                                                                                                                                                                                                            000000000100000003030202                                                                 CATPTS:34 M1033_ALL:0 M1800:00 M1810:00 M1820:00 M1830:03 M1840:03 M1850:02 M1860:02                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0087 202110011  A001                                                                                                                                                                                                                                            000000000101000004030503                                                                 CATPTS:36 M1033_ALL:0 M1800:01 M1810:00 M1820:00 M1830:04 M1840:03 M1850:05 M1860:03                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Med_No   0088 202110011  A001                                                                                                                                                                                                                                            000000000101010003040405                                                                 CATPTS:48 M1033_ALL:0 M1800:01 M1810:01 M1820:00 M1830:03 M1840:04 M1850:04 M1860:05                                                                                                     VER=03.0.21 HIPPS=1KB11 GVF=00 GRC=00              03.0.211KB110000                                                                                  %
CE_INFECT_Low_No   0089 202110011  A001                                                                                                                                                                                                                                            000000000101010105010001                                                                 CATPTS:20 M1033_ALL:0 M1800:01 M1810:01 M1820:01 M1830:05 M1840:01 M1850:00 M1860:01                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0090 202110011  A001                                                                                                                                                                                                                                            000000000100010006000002                                                                 CATPTS:29 M1033_ALL:0 M1800:00 M1810:01 M1820:00 M1830:06 M1840:00 M1850:00 M1860:02                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0091 202110011  A001                                                                                                                                                                                                                                            000000000100010005010003                                                                 CATPTS:31 M1033_ALL:0 M1800:00 M1810:01 M1820:00 M1830:05 M1840:01 M1850:00 M1860:03                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Med_No   0092 202110011  A001                                                                                                                                                                                                                                            000000000100010005000005                                                                 CATPTS:43 M1033_ALL:0 M1800:00 M1810:01 M1820:00 M1830:05 M1840:00 M1850:00 M1860:05                                                                                                     VER=03.0.21 HIPPS=1KB11 GVF=00 GRC=00              03.0.211KB110000                                                                                  %
CE_INFECT_Low_No   0093 202110011  A001                                                                                                                                                                                                                                            000000000100000006000101                                                                 CATPTS:23 M1033_ALL:0 M1800:00 M1810:00 M1820:00 M1830:06 M1840:00 M1850:01 M1860:01                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0094 202110011  A001                                                                                                                                                                                                                                            000000000101010005010102                                                                 CATPTS:32 M1033_ALL:0 M1800:01 M1810:01 M1820:00 M1830:05 M1840:01 M1850:01 M1860:02                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0095 202110011  A001                                                                                                                                                                                                                                            000000000101010006010103                                                                 CATPTS:34 M1033_ALL:0 M1800:01 M1810:01 M1820:00 M1830:06 M1840:01 M1850:01 M1860:03                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Med_No   0096 202110011  A001                                                                                                                                                                                                                                            000000000100000006000104                                                                 CATPTS:46 M1033_ALL:0 M1800:00 M1810:00 M1820:00 M1830:06 M1840:00 M1850:01 M1860:04                                                                                                     VER=03.0.21 HIPPS=1KB11 GVF=00 GRC=00              03.0.211KB110000                                                                                  %
CE_INFECT_Low_No   0097 202110011  A001                                                                                                                                                                                                                                            000000000100010005000300                                                                 CATPTS:27 M1033_ALL:0 M1800:00 M1810:01 M1820:00 M1830:05 M1840:00 M1850:03 M1860:00                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Low_No   0098 202110011  A001                                                                                                                                                                                                                                            000000000100010006010502                                                                 CATPTS:36 M1033_ALL:0 M1800:00 M1810:01 M1820:00 M1830:06 M1840:01 M1850:05 M1860:02                                                                                                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_INFECT_Med_No   0099 202110011  A001                                                                                                                                                                                                                                            000000000101000106000403                                                                 CATPTS:38 M1033_ALL:0 M1800:01 M1810:00 M1820:01 M1830:06 M1840:00 M1850:04 M1860:03                                                                                                     VER=03.0.21 HIPPS=1KB11 GVF=00 GRC=00              03.0.211KB110000                                                                                  %
CE_OTHER_Low_No    0100 202110011  T63313D                                                                                                                                                                                                                                         111100000001010100010001                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AA11 GVF=00 GRC=00              03.0.211AA110000                                                                                  %
CE_OTHER_Low_Low   0101 202110011  T63832A I82603                                                                                                                                                                                                                                  111100000000010000010001                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AA21 GVF=00 GRC=00              03.0.211AA210000                                                                                  %
CE_OTHER_Low_Hi    0102 202110011  H74392  I4821   L8944                                                                                                                                                                                                                           111100000000000001000000                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AA31 GVF=00 GRC=00              03.0.211AA310000                                                                                  %
CE_OTHER_Med_No    0103 202110011  L575                                                                                                                                                                                                                                            111100000002030202020100                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AB11 GVF=00 GRC=00              03.0.211AB110000                                                                                  %
CE_OTHER_Med_Low   0104 202110011  H11413  C059                                                                                                                                                                                                                                    111100000003030202030101                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AB21 GVF=00 GRC=00              03.0.211AB210000                                                                                  %
CE_OTHER_Med_Hi    0105 202110011  T5294XD G8104   N03A                                                                                                                                                                                                                            111100000002030202020101                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AB31 GVF=00 GRC=00              03.0.211AB310000                                                                                  %
CE_OTHER_Hi_No     0106 202110011  T63452A                                                                                                                                                                                                                                         111100000002020302020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AC11 GVF=00 GRC=00              03.0.211AC110000                                                                                  %
CE_OTHER_Hi_Low    0107 202110011  T65294S I70444                                                                                                                                                                                                                                  111100000002030302030102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AC21 GVF=00 GRC=00              03.0.211AC210000                                                                                  %
CE_OTHER_Hi_Hi     0108 202110011  T63813A I5042   I70331                                                                                                                                                                                                                          111100000002020302020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1AC31 GVF=00 GRC=00              03.0.211AC310000                                                                                  %
CE_NEURRHB_Low_No  0109 202110011  G800                                                                                                                                                                                                                                            111100000001010100010001                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=1BA11 GVF=00 GRC=00              03.0.211BA110000                                                                                  %
NOST_NA_NA_NA RC05 0110 202110011  G9200                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0111 202110011  A001    G9200                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    G9200 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0112 202110011  G9201                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0113 202110011  A001    G9201                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    G9201 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0114 202110011  G9202                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0115 202110011  A001    G9202                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    G9202 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0116 202110011  G9203                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0117 202110011  A001    G9203                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    G9203 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0118 202110011  G9204                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0119 202110011  A001    G9204                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    G9204 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0120 202110011  G9205                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0121 202110011  A001    G9205                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    G9205 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0122 202110011  G928                                                                                                                                                                                                                                            000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0123 202110011  A001    G928                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                    G928 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                      VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0124 202110011  G929                                                                                                                                                                                                                                            000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0125 202110011  A001    G929                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                    G929 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                      VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0126 202110011  I5A                                                                                                                                                                                                                                             000000000100000000000000                                                                                                                                                                                    CLINICAL_GROUP=NA PDX POS                                             VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0127 202110011  A001    I5A                                                                                                                                                                                                                                     000000000100000000000000                                                                                                                                                                                    I5A GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_GI/GU_Low_No    0128 202110011  K31A19                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    K31A19 GROUP=J Add                                                    VER=03.0.21 HIPPS=1JA11 GVF=00 GRC=00              03.0.211JA110000                                                                                  %
NOST_NA_NA_NA RC05 0129 202110011  P0082                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    CLINICAL_GROUP=NA PDX POS                                             VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0130 202110011  A001    P0082                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    P0082 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_OTHER_Low_No    0131 202110011  P099                                                                                                                                                                                                                                            000000000100000000000000                                                                                                                                                                                    P099 GROUP=A Add                                                      VER=03.0.21 HIPPS=1AA11 GVF=00 GRC=00              03.0.211AA110000                                                                                  %
CE_INFECT_Low_No   0132 202110011  A001    P099                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                    P099 GROUP=NA Add IN SDX CLINICAL_GROUP=NA PDX POS                    VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0133 202110011  R054                                                                                                                                                                                                                                            000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0134 202110011  A001    R054                                                                                                                                                                                                                                    000000000100000000000000                                                                                                                                                                                    R054 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                      VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0135 202110011  S06A0XA                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0136 202110011  A001    S06A0XA                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    S06A0XA GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0137 202110011  S06A0XD                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0138 202110011  A001    S06A0XD                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    S06A0XD GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0139 202110011  S06A0XS                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0140 202110011  A001    S06A0XS                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    S06A0XS GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0141 202110011  S06A1XA                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0142 202110011  A001    S06A1XA                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    S06A1XA GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0143 202110011  S06A1XD                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0144 202110011  A001    S06A1XD                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    S06A1XD GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0145 202110011  S06A1XS                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0146 202110011  A001    S06A1XS                                                                                                                                                                                                                                 000000000100000000000000                                                                                                                                                                                    S06A1XS GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                   VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
CE_OTHER_Low_No    0147 202110011  T8082XA                                                                                                                                                                                                                                         000000000100000000000000                                                                                                                                                                                    T8082XA GROUP=A Add                                                   VER=03.0.21 HIPPS=1AA11 GVF=00 GRC=00              03.0.211AA110000                                                                                  %
NOST_NA_NA_NA RC05 0148 202110011  Z9151                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0149 202110011  A001    Z9151                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    Z9151 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0150 202110011  Z9152                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0151 202110011  A001    Z9152                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    Z9152 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0152 202110011  Z92850                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0153 202110011  A001    Z92850                                                                                                                                                                                                                                  000000000100000000000000                                                                                                                                                                                    Z92850 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                    VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0154 202110011  Z92858                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0155 202110011  A001    Z92858                                                                                                                                                                                                                                  000000000100000000000000                                                                                                                                                                                    Z92858 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                    VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0156 202110011  Z92859                                                                                                                                                                                                                                          000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0157 202110011  A001    Z92859                                                                                                                                                                                                                                  000000000100000000000000                                                                                                                                                                                    Z92859 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                    VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NOST_NA_NA_NA RC05 0158 202110011  Z9286                                                                                                                                                                                                                                           000000000100000000000000                                                                                                                                                                                    UNACCEPTABLE_PDX_FLAG=1 PDX Restriction                               VER=03.0.21 HIPPS=00000 GVF=00 GRC=05              03.0.21000000005                                                                                  %
CE_INFECT_Low_No   0159 202110011  A001    Z9286                                                                                                                                                                                                                                   000000000100000000000000                                                                                                                                                                                    Z9286 GROUP=NA Add IN SDX UNACCEPTABLE_PDX_FLAG=1                     VER=03.0.21 HIPPS=1KA11 GVF=00 GRC=00              03.0.211KA110000                                                                                  %
NO COMOR PRESENT   0160 20211001161M300    M41125                                                                                                                                                                                                                                  111111111002020202020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=2AB11 GVF=00 GRC=00              03.0.212AB110000                                                                                  %
NO COMOR PRESENT   0161 20211001161P012    P013                                                                                                                                                                                                                                    111111111002020202020102                                                                                                                                                                                                                                                          VER=03.0.21 HIPPS=2AB11 GVF=00 GRC=00              03.0.212AB110000                                                                                  %
