MSH|^~\&|ADM|SMH|||201912161528||ADT^A08|4129767|D|2.2|||AL|NE
EVN|A08|201912161528||||201912161513
PID|1|FHATVIG0012566|SM00047030|SM46813|LABTESTPUG^LUMED||19800201|M|||123 MAIN ST^^SURREY^BC^V2V 3X3|||||||SM003798/19|9874841706
PV1|1|I|SM-3E^SM3E-306^A|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||SMH|||||201912161513|
PV2||S^Semi-Private - Non-Solicited|
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
AL1|1|DA|F001900590^No Known Drug Allergies|||20191216
ZFD|LABTESTG2^Labtest^Generic^Doc2^^^^^DOC|1234 MAIN ST^^MAPLE RIDGE^BC^V2H 3H5|||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

