MSH|^~\&|ADM|SMH|||201911071956||ADT^A04|4102797|D|2.2|||AL|NE
EVN|A04|201911071956||||201911071942
PID|1|FHATVIG0011694|SM00046409|SM46201|ADMSTENCHEESE^LORI|LORI|19650919|F|||9689 116TH ST.^^DELTA^BC^V4N 2W3|||||||SM003457/19|9874987555
PV1|1|O|SM.SDC||||BROWND1^Brown^D.Sean^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201911071942|
PV2|||PAINFUL FOOT
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||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|TX|ADM MN^Enter Patient's Maiden Name:^ADM||BRADSHAW||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENCHEESE^LORI||9689 116TH ST.^^DELTA^BC^V4N 2W3||||||SP
ZFD|EDDYM^Eddy^M.Joan^^^^^03151^DOC|475 Guildford Way^ERH Palliative Care^Port Moody^BC^V3H 3W9|||BROWND1^Brown^D.Sean^^^^^27688^DOC|
ZFH|LUMED||||||

