MSH|^~\&|ADM|SMH|||201912021123||ADT^A01|4121567|D|2.2|||AL|NE
EVN|A01|201912021123||||201912021122
PID|1|FHATVIG0012678|SM00047088|SM46868|CPNADT^SALLY||19891202|F|||321 CIRCLE CRES^^SURREY^BC^V0M 1B0|||||||SM003709/19|
PV1|1|I|SM-S2FBU3^SMFBU3-230^A|UE|||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||SMH|||||201912021122|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180220||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other 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
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

