MSH|^~\&|ADM|LMH|||201912061422||ADT^A01|4125337|D|2.2|||AL|NE
EVN|A01|201912061422||||201912061421
PID|1|FHATVIG0012749|LM00005478|LM5311|PHATEST^LUMED5||19390301|M|||22051 FRASER HIGHWAY^^LANGLEY^BC^V3A 4H4|||||||LX000017/19|
PV1|1|I|LM-CHC^LMCH-11^C|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||ACE||||||||IN|||||||||||||||||||||LMH|||||201912061421|
PV2||WE^Ward ECU|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19900101||||||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|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||||||

