MSH|^~\&|ADM|SMH|||201905161305||ADT^A06|3932596|D|2.2|||AL|NE
EVN|A06|201905161305||||201905161300
PID|1|FHATVIG0009055|SM00044707|SM44514|CWSBUTLER^CAYENNE^TRAIN||19830801|F|||4198 286 AVE^^PORT COQUITLAM^BC^V7A2D2|||||||SM000600/19|9875361781
PV1|1|I|SM-S2FBU1^SMFBU1-201^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201905161300|
PV2||W^Ward|LABOUR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
OBX|8|TX|INS OPC^Other Province Health Care Number^INS||123550000||||||F
OBX|9|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|10|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|11|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|12|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|13|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSBUTLER^CAYENNE^TRAIN||4198 286 AVE^^PORT COQUITLAM^BC^V7A2D2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||
