MSH|^~\&|ADM|CGH|||201911211202||ADT^A01|4110057|D|2.2|||AL|NE
EVN|A01|201911211202||||201911211200
PID|1|FHATVIG0012527|CG00002246|CG2214|PHATEST^AUSTRIA||19991120|F|||45600 MENHOLM ROAD^^CHILLIWACK^BC^V2P 1P7|||||||CG000050/19|
PV1|1|I|CG-DJ4N^CGDJ4N-406^1|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||CGH|||||201911211200|
PV2||P^Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19991120||||||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||||||

MSH|^~\&|ADM||||201911211202||ADT^MRIPHNDODUPDATE|4110064|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911211202
PID|1|FHATVIG0012527||CG2214|PHATEST^AUSTRIA||19991120|F|||45600 MENHOLM ROAD^^CHILLIWACK^BC^V2P 1P7||||||||9874854995
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||||||

MSH|^~\&|ADM|CGH|||201911211202||ADT^A08|4110065|D|2.2|||AL|NE
EVN|A08|201911211202||||201911211200
PID|1|FHATVIG0012527|CG00002246|CG2214|PHATEST^AUSTRIA||19991120|F|||45600 MENHOLM ROAD^^CHILLIWACK^BC^V2P 1P7|||||||CG000050/19|9874854995
PV1|1|I|CG-DJ4N^CGDJ4N-406^1|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||CGH|||||201911211200|
PV2||P^Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19991120||||||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
AL1|1|MA|LATEX^Latex|MI|Rash                  *AL|20191121|Topical latex allergy;
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||||||

MSH|^~\&|ADM|CGH|||201911211202||ADT^A08|4110066|D|2.2|||AL|NE
EVN|A08|201911211202||||
PID|1|FHATVIG0012527|CG00002246|CG2214|PHATEST^AUSTRIA||19991120|F|||45600 MENHOLM ROAD^^CHILLIWACK^BC^V2P 1P7|||||||CG000050/19|9874854995
PV1|1|I|CG-DJ4N^CGDJ4N-406^1|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||CGH|||||201911211200|
PV2||P^Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19991120||||||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
AL1|1|MA|LATEX^Latex|MI|Rash                  *AL|20191121|Topical latex allergy;
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||||||

MSH|^~\&|ADM||||201911211203||ADT^MRIPHNDODUPDATE|4110069|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911211203
PID|1|FHATVIG0012527||CG2214|PHATEST^AUSTRIA||19991120|F|||45600 MENHOLM ROAD^^CHILLIWACK^BC^V2P 1P7||||||||9874854995
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||||||

