MSH|^~\&|ADM|LMH|||202001280954||ADT^A08|4157280|D|2.2|||AL|NE
EVN|A08|202001280954||||201912301324
PID|1|FHATVIG0012887|LM00005481|LM5315|ADMTEST^BLUEBERRY^MUFFIN||19510508|M|||UNKNOWN INTERNATIONAL ADDRESS^^UKRAINE^OC^OC|||||||LM000658/19|9874765455
PV1|1|E|LM.ER||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER||||||||||||||||||LEFT AGAINST MEDICAL ADVICE|||LMH|||||201912301324|201912301324
PV2|||TEST - NEW PATIENT DEMOGRAPHICS
OBX|1|TX|ADM FAM 4^FAMILY PHYSICIAN VERIFIED?^ADM||Y||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
GT1|1||ADMTEST^BLUEBERRY^MUFFIN||UNKNOWN INTERNATIONAL ADDRESS^^UKRAINE^OC^OC||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|||NEW|New Patient|||||EDDEPER

MSH|^~\&|ADM|RCH|||202001280954||ADT^A05|4157282|D|2.2|||AL|NE
EVN|A05|202001280954||||202001280954
PID|1|FHATVIG0013159|RC00008114|RC7788|TESTVPNEW^LADY^X||19770516|F|||7777 22 STREET^^LANGLEY^BC^V0V 0V0|||||||RC001078/19|
PV1|1|P|RC.MFM||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||RCH|||||202001280954|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^0^DOC||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED|||||||||ENPRERCR

