MSH|^~\&|ADM|SMH|||201911071945||ADT^A04|4102780|D|2.2|||AL|NE
EVN|A04|201911071945||||201911071944
PID|1|FHATVIG0011563|SM00046280|SM46075|ADMSTEN^BESSIE|SUMANDEEP|19910822|F|||12469 CEDAR HILL DR^^SURREY^BC^V3W 2Y3|||||||SM003455/19|9875017323
PV1|1|O|SM.AMSDC||||BROWNC2^Brown^Carl^J^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201911071944|
PV2|||SURGERY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19890915||||||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
GT1|1||ADMSTEN^BESSIE||12469 CEDAR HILL DR^^SURREY^BC^V3W 2Y3||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BROWNC2^Brown^Carl^J^^^^28889^DOC|
ZFH|LUMED||||||

