MSH|^~\&|ADM|LMH|||202001281109||ADT^A06|4157360|D|2.2|||AL|NE
EVN|A06|202001281109||||202001231109
PID|1|FHATVIG0001639|LM00004613|SM40380|REGBATEST^WINTER^KNIGHT||19921212|M|||1234 HOLLAND RD^^SURREY^BC^V3T 5Y6|||||||LM000736/19|9876319136
PV1|1|I|LM-2S^LM2S-203^3|UE||LM.ER|GENPT^GENP^TEST^A^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||LMH|||||202001231109|
PV2||W^Ward|
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|CE|ADM CCI1^CCI#1^ADM||DNA^DNA-Do Not Acknowledge||||||F
OBX|3|TX|ADM CCICO1^Comments:^ADM||DNA - DO NOT ACKNOWLEDGE DENY ADMISSION SMH 11/28/2019||||||F
OBX|4|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|5|TX|ADM FAM 4^FAMILY PHYSICIAN VERIFIED?^ADM||Y||||||F
OBX|6|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|7|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|8|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|9|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|10|TX|ADM POC FC^Is Funeral Home Collection Requested?^ADM||Y||||||F
OBX|11|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||REGBATEST^WINTER^KNIGHT||1234 HOLLAND RD^^SURREY^BC^V3T 5Y6||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|.ERGP^Generic^ER^Physician^^^^^OTH||GENPT^GENP^TEST^A^^^^0008^DOC|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||DNA - DO NOT ACKNOWLEDGE SMH - 11/28/19|||ENADMIN

