MSH|^~\&|ADM|SMH|||201911281514||ADT^A06|4117022|D|2.2|||AL|NE
EVN|A06|201911281514||||201911281513
PID|1|FHATVIG0012618|SM00047043|SM46824|MITEST^TRIAL||19881128|M|||123 TEST^^SURREY^BC^V4T 2L0|||||||SM003653/19|
PV1|1|I|SM-3W^SM3W-327^A|EL-1||SM.ERT|ITSTESTMA1^ITSTEST^MI^ATT DOC 1^^^^^^^^^XX|||CARD||||||||IN|||||||||||||||||||||SMH|||||201911281513|
PV2||S^Semi-Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191128||||||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|ITSTESTMF1^ITSTEST^MI^FAM DOC 1^^^MD^^DOC|32900 Marshall Road^^Abbotsford^BC^V2S 0C2|HAEGERTJ^Haegert^Joseph^G.^^^^02610^DOC||ITSTESTMA1^ITSTEST^MI^ATT DOC 1^^^^^DOC|ITSTESTREF^ITSTEST^MI^REF DOC1^^^MD^^DOC|
ZFH|LUMED||||||

