MSH|^~\&|ADM|SMH|||201910111813||ADT^A08|4077288|D|2.2|||AL|NE
EVN|A08|201910111813||||201910110030
PID|1|FHATVIG0011790|SM00046502|SM46293|ADMSTEN^KENDAL^WESLEY|SUMANDEEP|19910822|M|||765 SAFFRON PL^^PORT COQUITLAM^BC^V0Y 9Y7|||||||SM002911/19|9874986428
PV1|1|O|SM.AMSDC||||BROWND1^Brown^D.Sean^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201910110030|
PV2|||INTERNAL FIXATION OF THE RIGHT ANKLE
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||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|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^No||||||F
GT1|1||ADMSTEN^KENDAL^WESLEY||765 SAFFRON PL^^PORT COQUITLAM^BC^V0Y 9Y7||||||SP
ZFD|IBRAHIME^Ibrahim^Evelin^^^^^26323^DOC|100-205 Newport Dr^^Port Moody^BC^V3H 5C9|SABADOSW^Sabados^Wade^A.^^^^25658^DOC||BROWND1^Brown^D.Sean^^^^^27688^DOC|
ZFH|LUMED|201910101046|2||||

