MSH|^~\&|ADM|SMH|||201911122038||ADT^A04|4103989|D|2.2|||AL|NE
EVN|A04|201911122038||||201911122038
PID|1|FHATVIG0011561|SM00046278|SM46073|ADMTESTTRAN^JENNY|SHERIELYN|19781006|F|||206-9695 72 AVE^^LANGLEY^BC^V9I 0P8|||||||SM003475/19|9875017355
PV1|1|O|SM.AMBC||||WONGF1^Wong^Flora^F^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201911122038|
PV2|||
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||20010101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|TX|ADM MN^Enter Patient's Maiden Name:^ADM||ADMTESTTRAN,JENNY||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMTESTTRAN^JENNY||206-9695 72 AVE^^LANGLEY^BC^V9I 0P8||||||SP
ZFD|WONGF1^Wong^Flora^F^^^^26157^DOC|#5-5761 Glover Road^St. Luke Family Practice^Langley^BC^V3A 8M8|||WONGF1^Wong^Flora^F^^^^26157^DOC|
ZFH|LUMED||||||

