MSH|^~\&|ADM|SMH|||201911280911||ADT^A04|4115672|D|2.2|||AL|NE
EVN|A04|201911280911||||201911280910
PID|1|FHATVIG0012618|SM00047043|SM46824|MITEST^TRIAL||19881128|M|||123 TEST^^SURREY^BC^V4T 2L0|||||||SM003653/19|
PV1|1|E|SM.ERT||||HAEGERTJ^Haegert^Joseph^G.^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201911280910|
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||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|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|KABIRIAS^Kabiri-Abyaneh^Shadan^^^^^29458^DOC|1065 24 Street^^West Vancouver^BC^V7V 1H4|HAEGERTJ^Haegert^Joseph^G.^^^^02610^DOC|
ZFH|LUMED||||||

