MSH|^~\&|ADM|LMH|||201911191347||ADT^A02|4107835|D|2.2|||AL|NE
EVN|A02|201911191347||||201911191346
PID|1|FHATVIG0005207|LM00004748|LM4668|PHATEST^LMH3||19970807|M|||1234 GREAT PLACE^^LANGLEY^BC^V2T 8J8|||||||LM000157/18|
PV1|1|I|LM-2N^LM2N-234^1|EL||LM-2N^LM2N-225^2|ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||DERM||||||||IN|||||||||||||||||||||LMH|||||201808310954|
PV2||P^Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20120829||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No 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
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

