MSH|^~\&|ADM|LMH|||201905311825||ADT^A12|3959762|D|2.2|||AL|NE
EVN|A12|201905311825||||201905311800
PID|1|FHATVIG0009430|LM00005338|LM5188|ADMTESTOR^SYDNEY|RACHEL|19711213|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||LM000423/19|
PV1|1|I|LM-ERIN1^LMERINZ1-2^AM1|UE|||TEST12345^TEST12345^^^^^^^^^^^XX|||EMED||||||||IN|||||||||||||||||||||LMH|||||201905301800|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20090531||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||23100||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20190530||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
OBX|10|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^YES||||||F
ZFD|TEST12345^TEST12345^^^^^^^DOC||.ERGP^Generic^ER^Physician^^^^^OTH||TEST12345^TEST12345^^^^^^^DOC|TEST12345^TEST12345^^^^^^^DOC|
ZFH|LUMED|201905301625|2||||
