MSH|^~\&|ADM|SCSC|||201912051400||ADT^A05|4124475|D|2.2|||AL|NE
EVN|A05|201912051400||||201912051130
PID|1|FHATVIG0000238|SU00003505|SU3505|CWSTEST^CORINA||19550302|F|||5848 1111 STREET^^NEW WESTMINSTER^BC^V7N 7O3|||||||SU000280/19|9124346185
PV1|1|P|SU.HH||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SCSC|||||201912051130|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20160101||||||F
OBX|2|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||Y^Yes||||||F
OBX|3|TX|ADM RESQDD^DATE ASKED^ADM||20170823||||||F
OBX|4|CE|SCH EN PRI^Priority^ADM||2^Within 2 weeks||||||F
OBX|5|CE|SCH HH REA^SCH HH REASON^ADM||CHF^CHRONIC HF||||||F
OBX|6|CE|SCH HH REF^SCH HH REF QUERY^ADM||FAMDR^FAMILY DOCTOR||||||F
OBX|7|CE|SCH HH TYP^SCH HH REFFERAL TYPE^ADM||REREF^RE-REFERRAL||||||F
OBX|8|CE|SCHCOMLIST^HH COMMENT LIST^ADM||3^UNABLE TO CONTACT PATIENT||||||F
OBX|9|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|CWST^CWS^TEST^A^^^^0004^DOC|10 MY STREET^^ABBOTSFORD^BC^V4H 5N6|||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

