MSH|^~\&|ADM|SMH|||201911041012||ADT^A04|4098692|D|2.2|||AL|NE
EVN|A04|201911041012||||201911041011
PID|1|FHATVIG0012297|SM00046852|SM46643|PWMTEST^ONE||19521104|F|||1^^1^1^1|||||||SM003373/19|
PV1|1|E|SM.ERTAC1||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201911041011|
PV2|||
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
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

