MSH|^~\&|ADM|SMH|||201910171103||ADT^A08|4082274|D|2.2|||AL|NE
EVN|A08|201910171103||||201910030700
PID|1|FHATVIG0011526|SM00046250|SM46046|ADMTESTZ^LLOYD|SONIA|19821212|M|||1212 PUMPKIN ST^^SURREY^BC^V4P 5P2|||||||SM002609/19|9875021251
PV1|1|P|SM.ERT||||JACKSONC^Jackson^Colin^M^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910030700|
PV2|||ORIF MAUEOLUS
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||20141003||||||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|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|8|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^No||||||F
OBX|9|TX|INS WCBBP^Body Part^INS||99990||||||F
OBX|10|TX|INS WCBDOI^Date of Injury^INS||20191003||||||F
OBX|11|TX|INS WCBNOI^Nature of Injury^INS||01200||||||F
GT1|1||ADMTESTZ^LLOYD||1212 PUMPKIN ST^^SURREY^BC^V4P 5P2||||||SP
ZFD|CIAVAREA^Ciavarella^Anthony^L.^^^^00356^DOC|27107 Fraser Hwy^^Aldergrove^BC^V4W 3R2|JACKSONC^Jackson^Colin^M^^^^27611^DOC|
ZFH|LUMED|201910030710|3||||

