MSH|^~\&|ADM|SMH|||201911121427||ADT^A04|4103866|D|2.2|||AL|NE
EVN|A04|201911121427||||201911121426
PID|1|FHATVIG0012386|SM00045637|SM45435|CWSWALKER^CHAMP^TRAIN||19760620|F|||5392 36 ST^^MAPLE RIDGE^BC^V6M 7J4|||||||SM001867/19|9874890651
PV1|1|O|SM.MI||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201911121426|
PV2|||PERCUTANEOUS FLUID DRAINAGE
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191109||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||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||CWSWALKER^CHAMP^TRAIN||5392 36 ST^^MAPLE RIDGE^BC^V6M 7J4||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

