MSH|^~\&|ADM|SMH|||201905231142||ADT^A35|3948233|D|2.2|||AL|NE
EVN|A35|201905231142||||201905231141
PID|1|FHATVIG0009229|SM00044757|SM44563|CWSHENDERSON^PT^TRAIN||19850401|F|||7356 86 ST^^MAPLE RIDGE^BC^V1H 4Z8|||||||SM000680/19|9875328386
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905231141|
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20190516||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
MRG|||SM000668/19
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||
