MSH|^~\&|ADM|ARH|||202002071107||ADT^A04|4164061|D|2.2|||AL|NE
EVN|A04|202002071107||||202002071106
PID|1|FHATVIG0013247|AB00008550|AB8412|UCIKELOWNA^UPTEST||20180531|M|||1111 WEST DRIVE^^VANCOUVER^BC^V3J 2N9|||||||AB001142/19|9874750272
PV1|1|E|AB.ER||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||202002071106|
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENREGER

