MSH|^~\&|ADM|SMH|||202001231420||ADT^A08|4153501|D|2.2|||AL|NE
EVN|A08|202001231420||||202001231038
PID|1|FHATVIG0007383|SM00043722|SM43565|REGBATEST^INPATIENT^ONE||19670202|F|||1234 NUMBER RD^^SURREY^BC^V3T 5Y5|||||||SM004009/19|9875618399
PV1|1|O|SM.MORG||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||SMH|||||202001231038|
PV2|||RELEASED - CCI 202
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||REGBATEST^INPATIENT^ONE||1234 NUMBER RD^^SURREY^BC^V3T 5Y5||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||202001231420||ADT^A08|4153504|D|2.2|||AL|NE
EVN|A08|202001231420||||202001231410
PID|1|FHATVIG0013141|AB00008535|AB8396|TEST^MAGVIEWARH||19850123|M|||123 MAIN AVE^^SURREY^BC^V3S 9C1|||||||AB001071/19|
PV1|1|E|AB.ERZ4||||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||202001231410|
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
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||

