This report is a 'Data Only' report.  It only shows those fields in each segment of the message that actually contain data.  Empty fields are ignored (thus this report is only 3 pages long rather than 25)

MSH-Message header segment  (20 fields)

MSH-03: Sending Application  (3 components)

       namespace id: 1100

MSH-04: Sending Facility  (3 components)

       namespace id: KC

MSH-05: Receiving Application  (3 components)

       namespace id: MLI

MSH-06: Receiving Facility  (3 components)

       namespace id: KC000077

MSH-07: Date/Time Of Message  (2 components)

       time stamp data: 200602011325

MSH-09: Message Type  (4 components)

       component 1: ORU

MSH-10: Message Control ID  (1 component)

       Value: 1462C

MSH-11: Processing ID  (2 components)

       processing id: P

MSH-12: Version ID  (3 components)

       version id: 2.3

MSH-15: Accept Acknowledgment Type  (1 component)

       Value: AL

PID-Patient identification segment  (30 fields)

PID-01: Set ID - PID  (1 component)

       Value: 1

PID-03: Patient Identifier List  (6 components)

       id: 0314133120

PID-05: Patient Name  (7 components)

       family name (last name): DOE

       given name (first name): JOHN

PID-07: Date/Time of Birth  (2 components)

       time stamp data: 19451019

PID-08: Sex  (1 component)

       Value: M

PID-11: Patient Address  (9 components)

       street address: 709 SW SOMEWHERE DR

       other designation:

       city: GRAIN VALLEY

       state or province: MO

       zip or postal code: 64029-

PID-13: Phone Number - Home  (8 components)

       telecommunications use code: (816)555-1212

PID-18: Patient Account Number  (7 components)

       id: 123456789

       check digit:

       code identifying the check digit scheme employed:

       assigning authority: XI

       identifyer type code:

       assigning facility: F

       unknown: N

PID-19: SSN Number - Patient  (1 component)

       Value: 987654321

NTE-Notes and comments segment  (4 fields)

NTE-01: Set ID - NTE  (1 component)

       Value: 1

NTE-02: Source of Comment  (1 component)

       Value: L

NTE-03: Comment  (1 component)

       Value: PATIENT NOT FASTING

ORC-Common order segment  (24 fields)

ORC-01: Order Control  (1 component)

       Value: RE

ORC-02: Placer Order Number  (4 components)

       entity identifier: 03141314470

       namespace id: LAB

ORC-03: Filler Order Number  (4 components)

       entity identifier: 03141314470

       namespace id: LAB

ORC-05: Order Status  (1 component)

       Value: CA

ORC-09: Date/Time of Transaction  (2 components)

       time stamp data: 200601310000

ORC-12: Ordering Provider  (8 components)

       id number: F60390

       family name (last name): ADAMS

       given name (first name): K

       middle initial or name:

       suffix:

       prefix:

       degree:

OBR-Observation request segment  (45 fields)

OBR-01: Set ID - OBR  (1 component)

       Value: 1

OBR-02: Placer Order Number  (4 components)

       entity identifier: 03141314470

       namespace id: LAB

OBR-03: Filler Order Number  (4 components)

       entity identifier: 03141314470

       namespace id: LAB

OBR-04: Universal Service ID  (6 components)

       identifier: 102277

       text: Gestational Diabetes Eval

       name of coding system: L

OBR-07: Observation Date/Time #  (2 components)

       time stamp data: 200601311450

OBR-14: Specimen Received Date/Time *  (2 components)

       time stamp data: 200601310000

OBR-16: Ordering Provider  (8 components)

       id number: F60390

       family name (last name): ADAMS

       given name (first name): KAREN

       middle initial or name:

       suffix:

       prefix:

       degree:

OBR-20: Filler Field 1  (1 component)

       Value: 03141314470

OBR-22: Results Rpt/Status Chng - Date/Time +  (2 components)

       time stamp data: 200602011322

OBR-25: Result Status +  (1 component)

       Value: F

NTE-Notes and comments segment  (4 fields)

NTE-01: Set ID - NTE  (1 component)

       Value: 1

NTE-02: Source of Comment  (1 component)

       Value: L

NTE-03: Comment  (1 component)

       Value: Clinical Information: DRAW AT 320PM

OBX-Observation/result segment  (17 fields)

OBX-01: Set ID - OBX  (1 component)

       Value: 1

OBX-02: Value Type  (1 component)

       Value: NM

OBX-03: Observation Identifier  (6 components)

       identifier: 102278

       text: Gestational Diabetes Screen

       name of coding system: L

OBX-05: Observation Value  (1 component)

       Value: 105

OBX-06: Units  (6 components)

       identifier: mg/dL

OBX-07: References Range  (1 component)

       Value: 65-139

OBX-10: Nature of Abnormal Test  (1 component)

       Value: N

OBX-11: Observation Result Status  (1 component)

       Value: F

OBX-12: Date Last Obs Normal Values  (2 components)

       time stamp data: 19980406

OBX-14: Date/Time of the Observation  (2 components)

       time stamp data: 200602011127

OBX-15: Producer's ID  (6 components)

       identifier: KC