MSH|^~\&|ADM|RCH|||201912171146||ADT^A08|4130370|D|2.2|||AL|NE
EVN|A08|201912171146||||201912171037
PID|1|FHATVIG0012811|RC00008003|RC7721|LABTEST^COOKIE||19871231|F|||123 FROSTY ST^^ICING^BC^V02 4H1|||||||RC000937/19|9874772411
PV1|1|E|RC.ERZ1||||LABTESTG1^Labtest^Generic^Doc1^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||RCH|||||201912171037|
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^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|LABTESTG2^Labtest^Generic^Doc2^^^^^DOC|1234 MAIN ST^^MAPLE RIDGE^BC^V2H 3H5|LABTESTG1^Labtest^Generic^Doc1^^^^99009^DOC|
ZFH|LUMED||||||

