MSH|^~\&|ADM|SMH|||201911261512||ADT^A02|4113714|D|2.2|||AL|NE
EVN|A02|201911261512||||201911261512
PID|1|FHATVIG0012485|SM00046975|SM46759|PHATEST^SM1||19791119|M|||45678 99 AVE^^ABBOTSFORD^BC^V2V 2V2|||||||SM003556/19|
PV1|1|I|SM-3E^SM3E-302^C|EL||SM-5E^SM5E-511^A|ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||ACE||||||||IN|||||||||||||||||||||SMH|||||201911191344|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20020222||||||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
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||||||

