MSH|^~\&|ADM|SMH|||201911201201||ADT^A01|4108556|D|2.2|||AL|NE
EVN|A01|201911201201||||201911201153
PID|1|FHATVIG0011882|SM00046976|AB8192|UCIRISSO^UPTEST||19881030|M|||278 11TH AVE^^BURNABY^BC^V6M 5J6|||||||SM003557/19|9874971539
PV1|1|I|SM-N43^SMN43-041^A|EL||SM-3E|GENPT^GENP^TEST^A^^^^^^^^^XX|||INTM||||||||IN|||||||||||||||||||||SMH|||||201911201153|
PV2||S^Semi-Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20101028||||||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
GT1|1||UCIRISSO^UPTEST||278 11TH AVE^^BURNABY^BC^V6M 5J6||||||SP
ZFD|PRACT^PRACTISE^TEST^A^^^^0005^DOC|10 - 96 STREET^^SURREY^BC^V4H 5N6|||GENPT^GENP^TEST^A^^^^0008^DOC|TEST12345^TEST12345^^^^^^^DOC|
ZFH|LUMED||||||

