MSH|^~\&|ADM|ARH|||201911081118||ADT^A01|4103078|D|2.2|||AL|NE
EVN|A01|201911081118||||201911081118
PID|1|FHATVIG0012380|AB00008350|AB8258|PCSTEST^CUPCAKE||19761108|M|||1327 ANVIL CRT^^NEW WESTMINSTER^BC^V3E 4R4|||||||AB000657/19|
PV1|1|I|AB-3CHEAMA^AB3C-C3037^1|UE|||OEDOCN^Oedoc^Nancytrain^^^^MD^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201911081118|
PV2||P^Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20160417||||||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||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|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|5555 Main Street^^Langley^BC^V3V 1Z1|||OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||

