MSH|^~\&|ADM|BH|||201910241422||ADT^A08|4089028|D|2.2|||AL|NE
EVN|A08|201910241422||||
PID|1|FHATVIG0000433|BH00004100|RM3011|EMPITEST^DEFFERRED^ELIG||19791128|F|||99 CALGARY ST^^SURREY^BC^V5X 3N3|||||||BH001685/17|9876526917
PV1|1|I|BH-1A^BH1A-150^1|EL|||GENPT^GENP^TEST^A^^^^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||BH|||||201710181509|
PV2||P^Private - Non-Solicited|
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||NONE^None||||||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
AL1|1||NO KNOWN DRUG ALLERGIES|||20191024
GT1|1||EMPITEST^DEFFERRED^ELIG||88 APPLE ST^^SURREY^BC^V5X 3N3||||||SP
ZFD|CWST^CWS^TEST^A^^^^0004^DOC|10 MY STREET^^ABBOTSFORD^BC^V4H 5N6|||GENPT^GENP^TEST^A^^^^0008^DOC|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|FCH|||201910241422||ADT^A08|4089029|D|2.2|||AL|NE
EVN|A08|201910241422||||
PID|1|FHATVIG0000433|FC00002007|RM3011|EMPITEST^DEFFERRED^ELIG||19791128|F|||99 CALGARY ST^^SURREY^BC^V5X 3N3|||||||FC001026/17|9876526917
PV1|1|I|FC-FHL^FCFHL-103^1|EL-2|||DOCT^DOC^TEST^A^^^^^^^^^XX|||CV||||||||IN|||||||||||||||||||||FCH|||||201710171120|
PV2||WE^Ward ECU|
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||Y^YES||||||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 WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
AL1|1||NO KNOWN DRUG ALLERGIES|||20191024
ZFD|CWST^CWS^TEST^A^^^^0004^DOC|10 MY STREET^^ABBOTSFORD^BC^V4H 5N6|||DOCT^DOC^TEST^A^^^^0006^DOC|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

