MSH|^~\&|ADM|ARH|||201912091608||ADT^A01|4125974|D|2.2|||AL|NE
EVN|A01|201912091608||||201912091608
PID|1|FHATVIG0012757|AB00008391|AB8313|UCITUNA^UPTEST||19990601|M|||1111 DOWN ST^^SURREY^BC^V3J3B0|||||||AB000751/19|
PV1|1|I|AB-ERIN1^ABERINZ1-1^10A|EL|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||ACE||||||||IN|||||||||||||||||||||ARH|||||201912091608|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19990101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||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|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

