MSH|^~\&|ADM|SMH|||201906040801||ADT^A13|3961692|D|2.2|||AL|NE
EVN|A13|201906040801||||201906031523
PID|1|FHATVIG0009363|SM00044830|SM44636|ADMBAILEY^PASSPORT^TRAIN|JANE|19820107|F|||8580 54 ST^^PORT COQUITLAM^BC^V0D 1R4|||||||SM000804/19|9875321029
PV1|1|I|SM-S2FBU1^SMFBU1-201^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201905301332|
PV2||W^Ward|ASSESSMENT
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190530||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMBAILEY^PASSPORT^TRAIN||8580 54 ST^^PORT COQUITLAM^BC^V0D 1R4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||
