MSH|^~\&|ADM|SMH|||201911011313||ADT^A11|4096011|D|2.2|||AL|NE
EVN|A11|201911011313||||201910081800
PID|1|FHATVIG0011467|SM00046310|LM5289|ADMTEST^MUFFINS^BA||19820507|M|||1234 CHERRY LANE^^LANGLEY^BC^V3A 4T4|||||||SM002681/19|9875024271
PV1|1|O|SM.ERTAC1|||SM-S1PACU^SMPACU^2|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201910080800|
PV2|||SDC LOCATION > ED
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
OBX|6|TX|UPI ISO^^ADM||CAN||||||F
OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||1|NEW|New Patient||

