MSH|^~\&|ADM|SMH|||201912181050||ADT^A06|4130805|D|2.2|||AL|NE
EVN|A06|201912181050||||201912181049
PID|1|FHATVIG0012620|SM00047151|AB8291|UCIERTOIP^PTEST||19960917|F|||37 APPLE ST^^SURREY^BC^V5X 3N3|||||||SM003805/19|9874809911
PV1|1|I|SM-3E^SM3E-312^A|EL||SM.ERTAC1|GENPT^GENP^TEST^A^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||SMH|||||201912181049|
PV2||S^Semi-Private - Non-Solicited|BACK PAIN
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170101||||||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^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|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|EMRDOCTEST^EMRDOC^TEST^^^^^^DOC||GENPT^GENP^TEST^A^^^^0008^DOC|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

