MSH|^~\&|ADM|ARH|||201912051502||ADT^A04|4124615|D|2.2|||AL|NE
EVN|A04|201912051502||||201912051502
PID|1|FHATVIG0001171|AB00006920|AB6897|CCUCIONE^ONETEST||19760605|M|||1613 EARLSTON AVE^^HOPE^BC^V9M 5T1|||||||AB000739/19|9746190042
PV1|1|E|AB.ERZ3||||DOCT^DOC^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||201912051502|
PV2|||
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170529||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCCOP^BC CareCard \T\ Other Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|TEST12345^TEST12345^^^^^^^DOC||DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED||||||

