MSH|^~\&|ADM|SMH|||201911271243||ADT^A04|4115290|D|2.2|||AL|NE
EVN|A04|201911271243||||201911271241
PID|1|FHATVIG0012575|SM00047040|AB8288|UCIPATD^TESTPATD||19910207|M|||183 SALT RD^^SURREY^BC^V5X 3N3|||||||SM003649/19|9874838399
PV1|1|E|SM.ERTFLEX||||EMRDOCTEST^EMRDOC^TEST^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201911271241|
PV2|||TEST ENC TS 09
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|UPI ISO^^ADM||CAN||||||F
OBX|6|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|EMRDOCTEST^EMRDOC^TEST^^^^^^DOC|
ZFH|LUMED|||ORBACKSEV|Back Pain, Severe||

