MSH|^~\&|ADM|SMH|||201910111823||ADT^A06|4077308|D|2.2|||AL|NE
EVN|A06|201910111823||||201910111819
PID|1|FHATVIG0011799|SM00046511|SM46302|ADMTESTYOU^IT^WAS|JOAN|19650501|F|||7058 BERESFORD ST^^BURNABY^BC^V5L 3L3|||||||SM002922/19|
PV1|1|I|SM-S2FBU3^SMFBU3-235^A|EL||SM.FBU|BLESZYNM^Bleszynski^Maria^E.^^^^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||SMH|||||201910111819|
PV2||W^Ward|PREGNANCY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19950101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
OBX|7|TX|INS OPC^Other Province Health Care Number^INS||78986593||||||F
OBX|8|TX|INS OPCAD1^Address line 1^INS||1269 72 AVE||||||F
OBX|9|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|10|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|11|TX|INS OPCAD5^Postal Code^INS||TL62L2||||||F
OBX|12|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMTESTYOU^IT^WAS||7058 BERESFORD ST^^BURNABY^BC^V5L 3L3||||||SP
ZFD|SMITHC^Smith^Cameron^D^^^^07831^DOC|201-22242 48 Avenue^^Langley^BC^V3A 3N5|||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

