MSH|^~\&|ADM|RCH|||201912130848||ADT^A05|4128672|D|2.2|||AL|NE
EVN|A05|201912130848||||201912130845
PID|1|FHATVIG0012555|RC00007945|RM3040|CPATEST^SNAKE^TEST||19880906|F|||543 FAKE ST^^VANCOUVER^BC^V7H 2Y6|||||||RC000925/19|9874850325
PV1|1|P|RC.OR||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||RCH|||||201912130845|
PV2|||
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|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|||||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

