MSH|^~\&|ADM|SMH|||201911141529||ADT^A08|4105834|D|2.2|||AL|NE
EVN|A08|201911141529||||201911141527
PID|1|FHATVIG0012451|SM00046959|SM46745|ADMCOOK^COURIER^TRAIN||19401001|M|||9975 161 AVE^^PITT MEADOWS^BC^V8C 8Q6|||||||SX000015/19|9874881416
PV1|1|I|SM-LPH^SMLPH-205A^1|EL|||GENPT^GENP^TEST^A^^^^^^^^^XX|||EXTD||||||||IN||||||||||||||||||EXPIRED|||SMH|||||201911141509|201911141527
PV2||WH^Ward Hospice|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|TX|CC DIS0015^If Deceased, Enter Date of Death:^ADM||20191114||||||F
OBX|8|TX|CP H 48HRS^Died Within 72 hrs of Admission:^ADM||Y||||||F
OBX|9|CE|CP H DDXCA^Is Primary Diagnosis Cancer or Non-Cancer^ADM||CA^Cancer||||||F
OBX|10|CE|CP H DIREA^Discharge Reason:^ADM||EXP^Expired||||||F
OBX|11|TX|CP H QUALD^Quality of Death /10:^ADM||9||||||F
OBX|12|TX|CP H QUALR^Quality of Dying Recorded:^ADM||Y||||||F
OBX|13|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMCOOK^COURIER^TRAIN||9975 161 AVE^^PITT MEADOWS^BC^V8C 8Q6||||||SP
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||||||

