MSH|^~\&|ADM|BH|||201911191334||ADT^A02|4107796|D|2.2|||AL|NE
EVN|A02|201911191334||||201911191333
PID|1|FHATVIG0007301|BH00004838|BH4359|PHATEST^OVAL||19890101|F|||3935 Kincaid Street^^Burnaby^BC^V5G 2X6|||||||BH000733/18|9875621168
PV1|1|I|BH-3B^BH3B-371^3|EL||BH-2A^BH2A-255^3|ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||INTM||||||||IN|||||||||||||||||||||BH|||||201901091044|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19890101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||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|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

