MSH|^~\&|ADM|SMH|||201910181826||ADT^A08|4084336|D|2.2|||AL|NE
EVN|A08|201910181826||||201910170400
PID|1|FHATVIG0012025|SM00046684|SM46475|ADMTESTITCH^SYDNEY|MEGAN|19970608|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003125/19|
PV1|1|I|SM-ERTAC2^SMERTAC2^AG|UE|||ALTMANY^Altman^Yevgeni^^^^^^^^^^XX|||EMED||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||W^Ward|QUERY CEREBRAL HEMORRHAGE
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||19990101||||||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||U^UNK||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||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||00000||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||ALTMANY^Altman^Yevgeni^^^^^09335^DOC|SHETES^Shete^Shilpa^C^^^^29593^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

