MSH|^~\&|ADM|ARH|||201912121337||ADT^A03|4128381|D|2.2|||AL|NE
EVN|A03|201912121337||||201912101335
PID|1|FHATVIG0012787|AB00008411|AB8327|REGBATEST^UCI^EXP||19630202|M|||12356 NEW RD^^SURREY^BC^V3T 5Y6|||||||AB000785/19|9874778358
PV1|1|E|AB.ER||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER||||||||||||||||||EXPIRED|||ARH|||||201912081334|201912101335
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||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|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

