MSH|^~\&|ADM|ARH|||201911191451||ADT^A02|4107931|D|2.2|||AL|NE
EVN|A02|201911191451||||201911191451
PID|1|FHATVIG0012484|AB00008359|AB8274|PHATEST^AB1||19921119|M|||12345 79 ST^^SURREY^BC^V1V 1V1|||||||AB000677/19|
PV1|1|I|AB-4CHEAM^AB4C-C4041^1|EL||AB-4CHEAMA^AB4CA-4002^3|ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201911191320|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20011111||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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||||||

