MSH|^~\&|ADM|SMH|||201910111842||ADT^A03|4077510|D|2.2|||AL|NE
EVN|A03|201910111842||||201910111840
PID|1|FHATVIG0011801|SM00046513|SM46304|ADMSTEN^SIGMUND^BERT|ADRIANA|19911202|M|||BOX 1345^^SARDIS^BC^V0Z 1O2|||||||SM002924/19|9874986291
PV1|1|O|SM.AMIV||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||RCR||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910111736|201910111840
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
OBX|6|TX|INS OPC^Other Province Health Care Number^INS||5646458||||||F
OBX|7|TX|INS OPCAD1^Address line 1^INS||GENERAL DELIVERY LASHBURN||||||F
OBX|8|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|9|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|10|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|RICHARDA2^Richardson^Alescia^^^^^89215^MID|103 - 33119 South Fraser Way^West Coast Health Collective^Abbotsford^BC^V2S 2B1|||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

