MSH|^~\&|ADM|SMH|||201912161258||ADT^A01|4129447|D|2.2|||AL|NE
EVN|A01|201912161258||||201912161257
PID|1|FHATVIG0010758|SM00045635|SM45433|MICTEST^MUFFIN||19660210|F|||ABCDE RD^^SURREY^BC^BC|||||||SM003790/19|9875099847
PV1|1|I|SM-3E^SM3E-314^B|EL|||.UNATTACH^Unattach^^^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||SMH|||||201912161257|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||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|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|LABTESTG1^Labtest^Generic^Doc1^^^^99009^DOC|123 MAIN ST^^MISSION^BC^V2V 2J5|||.UNATTACH^Unattach^^^^^^^OTH|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

