MSH|^~\&|ADM|ARH|||201912100940||ADT^A04|4126232|D|2.2|||AL|NE
EVN|A04|201912100940||||201912100939
PID|1|FHATVIG0000748|AB00008392|RM3021|CPATEST^COW^TEST||19700101|M|||22237 LOUGHEED HWY^^MAPLE RIDGE^BC^V0M 1V0|||||||AB000753/19|9876487213
PV1|1|E|AB.ER||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||201912100939|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20151208||||||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|TX|UPI ISO^^ADM||CAN||||||F
OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

