MSH|^~\&|ADM|SMH|||201911141515||ADT^A11|4105808|D|2.2|||AL|NE
EVN|A11|201911141515||||201911141509
PID|1|FHATVIG0012451|SM00046959|SM46745|ADMCOOK^COURIER^TRAIN||19401001|M|||9975 161 AVE^^PITT MEADOWS^BC^V8C 8Q6|||||||SM003532/19|9874881416
PV1|1|P||EL||SM-LPH^SMLPH-205A^1|GENPT^GENP^TEST^A^^^^^^^^^XX|||EXTD||||||||IN|||||||||||||||||||||SMH|||||201911141509|
PV2|||EXTENDED CARE
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20140101||||||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|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
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

