MSH|^~\&|ADM|SMH|||202001151045||ADT^A03|4147109|D|2.2|||AL|NE
EVN|A03|202001151045||||202001151045
PID|1|FHATVIG0012979|SM00047216|SM46995|ADMANDERSON^AZTEK^TRAIN|JODY|19930218|F|||5218 86 ST^^NEW WESTMINISTER^BC^V4W 1Z2|||||||SM003905/19|9874758284
PV1|1|I|SM-S2FBU3^SMFBU3-230^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||202001091404|202001151045
PV2||W^Ward|LABOR
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191101||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST. EDOMONTON, AB, TOL ZTO||||||F
OBX|9|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|10|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|11|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|12|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|13|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|14|TX|INS OPCAD5^Postal Code^INS||TOL1TO||||||F
OBX|15|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

