MSH|^~\&|ADM|SMH|||201911141458||ADT^A06|4105786|D|2.2|||AL|NE
EVN|A06|201911141458||||201911141455
PID|1|FHATVIG0012450|SM00046958|SM46744|CWSALLEN^ELCAMINO^TRAIN||19530808|M|||1514 200 AVE^^PORT COQUITLAM^BC^V0I 4V5|||||||SM003531/19|9874886257
PV1|1|I|SM-S1S1^SMS1S1-3^A|UE||SM.ERTWIZ|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201911141455|
PV2||W^Ward|APPENDICITIS
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||N^NOT ASKED/NOTHING SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181114||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||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|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||CWSALLEN^ELCAMINO^TRAIN||1514 200 AVE^^PORT COQUITLAM^BC^V0I 4V5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|.ERGP^Generic^ER^Physician^^^^^OTH||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||NEW|New Patient||

