MSH|^~\&|ADM|SMH|||201911191030||ADT^A01|4107442|D|2.2|||AL|NE
EVN|A01|201911191030||||201911191029
PID|1|FHATVIG0000746|SM00046972|RM3019|CPATEST^CAT^TEST||18700101|M|||22435 RIVER RD^^MAPLE RIDGE^BC^V0M 1V0|||||||SM003552/19|9876487245
PV1|1|I|SM-S3S1^SMS3S1-301^A|EL||SM-S1S1|ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201911191029|
PV2||S^Semi-Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20150530||||||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
AL1|1|MA| NKDA^No Known Drug Allergies.|||20181127
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

