MSH|^~\&|ADM|FCH|||202001100929||ADT^A04|4143503|D|2.2|||AL|NE
EVN|A04|202001100929||||202001100929
PID|1|FHATVIG0013005|FC00002128|FC2180|PCSTEST^OERULESREGERFCH||19750110|M|||98-MAIN ST^^HOPE^BC^BC|||||||FC000051/19|
PV1|1|E|FC.ER||||EDMTEST^EDM Test Provider^Upgrade^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||FCH|||||202001100929|
PV2|||PCSREF TESTING
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||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|EDMTEST^EDM Test Provider^Upgrade^^^^^^DOC||EDMTEST^EDM Test Provider^Upgrade^^^^^^DOC|
ZFH|LUMED||||||

