MSH|^~\&|CHCS^ADT|N00183|DATAGATE|3M|20020628012707.0-0400||ADT^A31|R00183-241718545|P|2.3|
EVN|A31|20020628012707.0-0400|
PID|1||242366^^R00183|30/059-90-8525|JACKSON^MICHAEL||19580829000100.0-0400|M||C|5225 FIGUEROA MOUNTAIN RD^^LOS OLIVOS^CA^93441||7574718052|||M|CAT||954-15-7067|||OTH|||||4025^USN JAC MBR AD^^N41|
NK1|1|JACKSON^JOE|FATHER|2300 JACKSON ST^^GARY^IN^23456|7575581887|
NK1|2|JACKSON^KATHERINE|MOTHER|2300 JACKSON ST^^GARY^IN^23456|7575581888|
NK1|3|JACKSON^JACKIE|BROTHER|2300 JACKSON ST^^GARY^IN^23456|7575581889|
NK1|4|JACKSON^TITO|BROTHER|2300 JACKSON ST^^GARY^IN^23456|7575581890|
NK1|5|JACKSON^JERMAINE|BROTHER|2300 JACKSON ST^^GARY^IN^23456|7575581891|
NK1|6|JACKSON^MARLON|BROTHER|2300 JACKSON ST^^GARY^IN^23456|7575581892|
NK1|7|JACKSON^RANDY|BROTHER|2300 JACKSON ST^^GARY^IN^23456|7575581893|
NK1|8|JACKSON^REBBIE|SISTER|2300 JACKSON ST^^GARY^IN^23456|7575581894|
NK1|9|JACKSON^LA TOYA|SISTER|2300 JACKSON ST^^GARY^IN^23456|7575581895|
NK1|10|JACKSON^JANET|SISTER|2300 JACKSON ST^^GARY^IN^23456|7575581896|
PV1||O|
OBX|1|NM|PKU^WEIGHT||152|||||||||||||