MSH|^~\&|ADM|COM|||202002041000||ADT^A04|4161076|D|2.2|||AL|NE
EVN|A04|202002041000||||202002040954
PID|1|FHATVIG0012860|CM00001051|ER1659|MOUSE^MICK||20001018|M|||1234 HAPPY LANE^^PORT MOODY^BC^V3B 2L4|||||||CM000014/19|9874768586
PV1|1|O|CM.CRP||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||COM|||||202002040954|
PV2|||COMMUNITY RESPIRATORY SERVICES
OBX|1|TX|CRS AS0210^Seen At Home? - Yes/No^ADM||N||||||F
OBX|2|CE|CRS AS0211^Clinic:^ADM||3^Other||||||F
OBX|3|CE|CRS PD0020^Client's Location on Referral:^ADM||Acute ARH^Acute Care - ARH||||||F
OBX|4|CE|CRS PD0025^Client Type:^ADM||COPD EDU H^COPD Education and HOP||||||F
OBX|5|CE|CRS PD0050^Diagnostic Group:^ADM||CARD/RESP^Cardiac/Respiratory||||||F
OBX|6|CE|CRS PD0052^Primary Dx:^ADM||PH^Pulmonary Hypertension||||||F
OBX|7|TX|CRS PD0057^% HOP Coverage:^ADM||0||||||F
OBX|8|TX|CRS REFDT1^CRS Program Referral Date:^ADM||20200202||||||F
OBX|9|CE|CRS RX0001^System:^ADM||E^Liquid System Only||||||F
OBX|10|CE|CRS RX0002^Supplier:^ADM||B^Vital Aire Healthcare||||||F
OBX|11|TX|UPI ISO^^ADM||CAN||||||F
OBX|12|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||MOUSE^MICK||1234 HAPPY LANE^^PORT MOODY^BC^V3B 2L4||||||SP
ZFD|DUCCESCS^Ducceschi^Sylvia^P.^^^^09742^DOC|120 - 2280 Hastings St E^^Vancouver^BC^V5L 1V4|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||ENREGRCR

