MSH|^~\&|ADM|SMH|||201910301155||ADT^A04|4093830|D|2.2|||AL|NE
EVN|A04|201910301155||||201910301150
PID|1|FHATVIG0012055|SM00046714|SM46505|ADMTESTLUCKY^GLENDA|ISHA|19551028|F|||22 9080 BIRTHING RD^^NEW WESTMINSTER^BC^V3X 8J8|||||||SM003327/19|9874965961
PV1|1|O|SM.MAT||||MAHE^Mah^Elaine^^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910301150|
PV2|||ASSESSMENT
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20141018||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|4|TX|ADM MN^Enter Patient's Maiden Name:^ADM||||||||F
OBX|5|TX|UPI ISO^^ADM||CAN||||||F
GT1|1||ADMTESTLUCKY^GLENDA||22 9080 BIRTHING RD^^NEW WESTMINSTER^BC^V3X 8J8||||||SP
ZFD|FAGANM^Fagan^Mitchell^^^^^23036^DOC|204-22112 52 Avenue^Murrayville Family Practice^Langley^BC^V2Y 2M6|||MAHE^Mah^Elaine^^^^^05649^DOC|
ZFH|LUMED||||||

