MSH|^~\&|ADM|RMH|||201911191442||ADT^A08|4107904|D|2.2|||AL|NE
EVN|A08|201911191442||||
PID|1|FHATVIG0012486|RM00003593|RM3179|PHATEST^RMH1||19641119|F|||2121 232 ST^^PITT MEADOWS^BC^V9V 9V9|||||||RM000118/19|
PV1|1|I|RM-3W^RM3W-352^A|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||ACE||||||||IN|||||||||||||||||||||RMH|||||201911191348|
PV2||S^Semi-Private - Non-Solicited|
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||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
AL1|1|MA| NKDA^No Known Drug Allergies.|||20191119
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||||||

