MSH|^~\&|ADM|ARH|||202001221009||ADT^A04|4152028|D|2.2|||AL|NE
EVN|A04|202001221009||||202001221009
PID|1|FHATVIG0013103|AB00008524|AB8389|UCIONE^UCITESTBLENDER||19830924|M|||5409 MITCHELL ST^^ABBOTSFORD^BC^V5M 3L2|||||||AB001061/19|
PV1|1|E|AB.ERZ1||||DOCT^DOC^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||202001221009|
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCS^BC Services (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|TEST12345^TEST12345^^^^^^^DOC||DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||202001221010||ADT^A03|4152036|D|2.2|||AL|NE
EVN|A03|202001221010||||202001221010
PID|1|FHATVIG0013103|AB00008524|AB8389|UCIONE^UCITESTBLENDER||19830924|M|||5409 MITCHELL ST^^ABBOTSFORD^BC^V5M 3L2|||||||AB001061/19|
PV1|1|E|AB.ERZ1||||DOCT^DOC^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||202001221009|202001221010
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCS^BC Services (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|TEST12345^TEST12345^^^^^^^DOC||DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED||||||

