MSH|^~\&|ADM|DH|||201910250849||ADT^A01|4089429|D|2.2|||AL|NE
EVN|A01|201910250849||||201910250844
PID|1|FHATVIG0012149|DH00002174|DH2137|EMRTEST^DURIAN^TEST||19511025|F|||43-321 Fake St^^Surrey^BC^V3T 0G5|||||||DH000031/19|
PV1|1|I|DH-2S^DH2S-205^1|EL|||DOCT^DOC^TEST^A^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||DH|||||201910250844|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20001004||||||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
ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|||DOCT^DOC^TEST^A^^^^0006^DOC|DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED||||||

