MSH|^~\&|ADM|SMH|||201911300201||ADT^A03|4121025|D|2.2|||AL|NE
EVN|A03|201911300201||||20191129
PID|1|FHATVIG0008922|SM00044673|SM44481|MYCTEST^STARLING||19720505|U|||107 FOREST AVE^^SURREY^BC^V3S 1V1|||||||SM000531/19|9875370655
PV1|1|O|SM.PD||||ADMT^ADM^TEST^A GENP^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905130943|201911290001
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|PRACT^PRACTISE^TEST^A^^^^0005^DOC|10 - 96 STREET^^SURREY^BC^V4H 5N6|||ADMT^ADM^TEST^A GENP^^^^002^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911300201||ADT^A03|4121026|D|2.2|||AL|NE
EVN|A03|201911300201||||20191129
PID|1|FHATVIG0008926|SM00044674|SM44482|MYCTEST^RAVEN||19730606|M|||108 FOREST AVE^^SURREY^BC^V3S 1V1|||||||SM000532/19|9875370648
PV1|1|O|SM.RD||||ADMT^ADM^TEST^A GENP^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905130950|201911290001
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|PRACT^PRACTISE^TEST^A^^^^0005^DOC|10 - 96 STREET^^SURREY^BC^V4H 5N6|||ADMT^ADM^TEST^A GENP^^^^002^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911300201||ADT^A03|4121027|D|2.2|||AL|NE
EVN|A03|201911300201||||20191129
PID|1|FHATVIG0008928|SM00044675|SM44483|MYCTEST^TOWHEE||19750808|M|||110 FOREST AVE^^SURREY^BC^V3S 1V1|||||||SM000533/19|9875370576
PV1|1|O|SM.RD/PD||||ADMT^ADM^TEST^A GENP^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905131030|201911290001
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|PRACT^PRACTISE^TEST^A^^^^0005^DOC|10 - 96 STREET^^SURREY^BC^V4H 5N6|||ADMT^ADM^TEST^A GENP^^^^002^DOC|
ZFH|LUMED||||||

