MSH|^~\&|ADM|SMH|||201910092103||ADT^A08|4073761|D|2.2|||AL|NE
EVN|A08|201910092103||||201910091600
PID|1|FHATVIG0011717|SM00046432|SM46223|ADMSTENJACK^BABY^GIRL|CINDY|20191009|F|||1234 PINK TICK ROAD^^MAPLE RIDGE^BC^V4P 5P1|||||||SM002825/19|
PV1|1|I|SM-S2FBUPA^SMFBUPA-01^B|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED TO ACUTE FACILITY|||SMH|||||201910090130|201910091600
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||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|TX|ADM MN^Enter Patient's Maiden Name:^ADM||SONIA||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENJACK^CINDY||1234 PINK TICK ROAD^^MAPLE RIDGE^BC^V4P 5P1||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

