MSH|^~\&|ADM|SMH|||201912171552||ADT^A04|4130562|D|2.2|||AL|NE
EVN|A04|201912171552||||201912171551
PID|1|FHATVIG0008082|SM00047149|CM1028|ITSTEST^SKYPE||19821111|M|||8008 YELLOW BRICK RD^^LANGLEY^BC^12345|||||||SM003801/19|9875471881
PV1|1|E|SM.ERTAC3||||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201912171551|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190112||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|CRS ALTCV1^Other coverage:^ADM||PBC^Pacific Blue Cross||||||F
OBX|7|TX|CRS REFDT1^CRS Program Referral Date:^ADM||20190301||||||F
OBX|8|TX|ITSPDPCP1^Registered to FHA Palliative Care Program^ADM||Y||||||F
OBX|9|TX|ITSPDPCP2^Comment:^ADM||New patient to network||||||F
OBX|10|CE|ITSPDPCP3^Program:^ADM||ABB^Abbotsford||||||F
OBX|11|TX|UPI ISO^^ADM||CAN||||||F
OBX|12|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912171556||ADT^A05|4130568|D|2.2|||AL|NE
EVN|A05|201912171556||||201912171555
PID|1|FHATVIG0008082|SM00047149|CM1028|ITSTEST^SKYPE||19821111|M|||8008 YELLOW BRICK RD^^LANGLEY^BC^12345|||||||SM003802/19|9875471881
PV1|1|P|SM.ERTAC3|||||||||||||||ER|||||||||||||||||||||SMH|||||201912171555|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190112||||||F
OBX|2|CE|CRS ALTCV1^Other coverage:^ADM||PBC^Pacific Blue Cross||||||F
OBX|3|TX|CRS REFDT1^CRS Program Referral Date:^ADM||20190301||||||F
OBX|4|TX|ITSPDPCP1^Registered to FHA Palliative Care Program^ADM||Y||||||F
OBX|5|TX|ITSPDPCP2^Comment:^ADM||New patient to network||||||F
OBX|6|CE|ITSPDPCP3^Program:^ADM||ABB^Abbotsford||||||F
OBX|7|TX|UPI ISO^^ADM||CAN||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|
ZFH|LUMED||||||

