MSH|^~\&|ADM|SMH|||201912191542||ADT^A01|4132472|D|2.2|||AL|NE
EVN|A01|201912191542||||201912191541
PID|1|FHATVIG0012865|SM00047176|SM46953|CWSALEXANDER^CONQUEST^TRAIN|STEFANIE|19870107|M|||5130 94 ST^^NORTH VANCOUVER^BC^V4X 8P4|||||||SM003837/19|
PV1|1|I|SM-ZERO^SMZERO^05|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201912191541|
PV2||W^Ward|EXCESS BLEEDING
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||N^NOT ASKED/NOTHING SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190222||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||CWSALEXANDER^CONQUEST^TRAIN||5130 94 ST^^NORTH VANCOUVER^BC^V4X 8P4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

