MSH|^~\&|ADM|SMH|||201910301327||ADT^A04|4094260|D|2.2|||AL|NE
EVN|A04|201910301326||||201910290110
PID|1|FHATVIG0012055|SM00046714|SM46505|ASMTESTITCH^SYDNEY|ISHA|19551028|F|||5310 NITPUCK ROAD^^LANGLEY^BC^V3X 5P4|||||||SM003331/19|9874965961
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910290110|
PV2|||HEAD PAIN
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||20091030||||||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|TX|ADM MN^Enter Patient's Maiden Name:^ADM||||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|8|TX|UPI ISO^^ADM||CAN||||||F
OBX|9|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||N||||||F
OBX|10|TX|INS WCBBP^Body Part^INS||99990||||||F
OBX|11|TX|INS WCBDOI^Date of Injury^INS||20191029||||||F
OBX|12|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTLUCKY^GLENDA||5310 NITPUCK ROAD^^LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|201910290105|2||||

