Sample with multiple Items;

MSH|^~\&|GMRC IF CONSULT|XXX^XXXXX^DNS|GMRC IF CONSULT|YYY^^DNS|20250123175341+0000|CRNR|ORM^O01^ORM_O01|Q5808332894T6790522104|T|2.3|||State|State|USA

PID|1||1013570973V041977^^^ICN^ID~1110106796^^^EDIPI^EDIPI||PROSTEST^EHR||19760902|M||||||||||129256619|678235672

ORC|NW|15207778763^XXX^GMRCIFR|||||^^^20250123175300+0000^^R||20250123175331+0000|XXX8051652^PCP1^Physician||XXX8051652^PCP1^Physician|||20250123175341+0000||YYY

OBR|1|15207778763^XXX^GMRCIFR||YYY^PROSTHETICS IFC^757Office1235||20250123175300+0000||||||||||XXX8051652^PCP1^Physician|||Implant Usage (PSAS)||||||||^^^20250123175300+0000

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|1|Implant Usage (PSAS)||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|2|REASON FOR REQUEST: Item Number: 00801741016608||||||O   <<<< Remove ALL instances of “REASON FOR REQUEST:”

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|3|REASON FOR REQUEST:      Transaction Date/Time: 01/22/2025 17:45||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|4|REASON FOR REQUEST:      Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|5|REASON FOR REQUEST:      Item Description: Plug Surgical 1.3in Groin Monofilament ||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|6|REASON FOR REQUEST: Nonabsorbable Perfix Polypropylene Medium Taper 1.55in Sterile Hernia ||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|7|REASON FOR REQUEST: Repair 0112760||||||O

………… continued

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|128|REASON FOR REQUEST: Item Number: 00380650697127||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|129|REASON FOR REQUEST:      Transaction Date/Time: 01/23/2025 16:10||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|130|REASON FOR REQUEST:      Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|131|REASON FOR REQUEST:      Item Description: Lens SP PmmA 5.25x12.0mm (5) +13.0D||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|132|REASON FOR REQUEST:      Manufact urer: ALCON||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|133|REASON FOR REQUEST:      Manufacturer Model Number: LX10BD 13.0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|134|REASON FOR REQUEST:      HCPCS:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|135|REASON FOR REQUEST:      Lot Number: 01232025||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|136|REASON FOR REQUEST:      Expiration Date/Time: 02/28/2025 05:00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|137|REASON FOR REQUEST:      Serial Number: 01232025||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|138|REASON FOR REQUEST:      Source: 757-TrackCore Inv||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|139|REASON FOR REQUEST:      Used Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|140|REASON FOR REQUEST:      Waste Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|141|REASON FOR REQUEST:      Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|142|REASON FOR REQUEST:      Total Cost:           0.00      <<<<<<||||||O     Add a line break but only on messages with multiple “Item Number:”.

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|143|Special Instructions: ||||||O

OBX|2|CE|^PROVISIONAL DIAGNOSIS|1|R52^Pain, unspecified^I10||||||O

NTE|P|UCID:757_15207778763

Req 1

Add line breaks to OBX 5 segment with  Prosthetics orders contains "Issued in Clinic (PSAS)" OR "Implant Usage (PSAS)" with multiple items but Not messages with only one Item

Example

Req 2

Remove repeating text "REASON FOR REQUEST:" in OBX 5, with Prosthetics orders contains "Issued in Clinic (PSAS)" OR "Implant Usage (PSAS)".

Description: If PSAS order type is "Implant Usage (PSAS)" OR PSAS Order type is "Issued in Clinic (PSAS)" then remove string "REASON FOR REQUEST:" from OBX-5 fields where string "REASON FOR REQUEST:" is found.