MSH|^~\&|ADM|ARH|||202001030812||ADT^A04|4138440|D|2.2|||AL|NE
EVN|A04|202001030812||||202001030811
PID|1|FHATVIG0012758|AB00008393|AB8314|UCIONE^UCITESTAMAR|UCITEST|19660620|M|||13450 UNIVERSITY WAYS^^SURREY^BC^V3K 4K3|||||||AB000901/19|9874784598
PV1|1|E|AB.ERZ1||||DOCT^DOC^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||202001030811|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181210||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSOP^BC Services \T\ Other 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|TEST12345^TEST12345^^^^^^^DOC||DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED||||||

