MSH|^~\&|ADM|SMH|||201910162056||ADT^A02|4082056|D|2.2|||AL|NE
EVN|A02|201910162056||||201910151300
PID|1|FHATVIG0011958|SM00046626|SM46417|ADMTESTKIRK^PATRICIA|JUDY|19891010|F|||1010 POOL ST^^NEW WESTMINSTER^BC^V3S 4P4|||||||SM003055/19|9874970433
PV1|1|I|SM-S3S3^SMS3S3-324^B|UE||SM-ERTAC1^SMERTAC1^AI|SCHWEIGR^Schweigel^Robert^C.^^^^^^^^^XX|||ORTH||||||||IN|||||||||||||||||||||SMH|||||201910150500|
PV2||S^Semi-Private - Non-Solicited|FRACTURED RIGHT HIP
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||N^NOT ASKED/NOTHING SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20151001||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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||Y^YES||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|8|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^No||||||F
ZFD|GILLP^Gill^Prabhjot^^^^^29895^DOC|#303 - 22112 - 52nd Avenue^^Langley^BC^V2Y 2M6|CHONGD^Chong^David^L^^^^28112^DOC||SCHWEIGR^Schweigel^Robert^C.^^^^23835^DOC|CHONGD^Chong^David^L^^^^28112^DOC|
ZFH|LUMED|201910140105|2||||

