MSH|^~\&|ADM|SMH|||201911122024||ADT^A04|4103980|D|2.2|||AL|NE
EVN|A04|201911122024||||201911122024
PID|1|FHATVIG0011678|SM00046393|SM46185|ADMSTENCHEESE^SONIA|NAGRA|19821212|F|||9689 116TH ST^^DELTA^BC^V4N 2W3|||||||SM003474/19|9874987738
PV1|1|O|SM.AMBC||||EDDYM^Eddy^M.Joan^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201911122024|
PV2|||
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||20010101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||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^SONIA||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|||EDDYM^Eddy^M.Joan^^^^^03151^DOC|
ZFH|LUMED||||||

