MSH|^~\&|ADM|SMH|||202001271159||ADT^A03|4156947|D|2.2|||AL|NE
EVN|A03|202001271159||||202001231245
PID|1|FHATVIG0013145|SM00047296|SM47073|ADMPARKER^RAMCHARGER^TRAIN|BARB|19350618|M|||7407 218 ST^^NEW WESTMINSTER^BC^V3X 8P0|||||||SM004029/19|9874753017
PV1|1|I|SM-N42^SMN42-021^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||CARD||||||||IN||||||||||||||||||EXPIRED|||SMH|||||202001051347|202001231245
PV2||P^Private - Non-Solicited|CONGESTIVE HEART FAILURE
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19630501||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||Y^YES||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

