MSH|^~\&|ADM|SMH|||201912100845||ADT^A13|4126106|D|2.2|||AL|NE
EVN|A13|201912100845||||201911041112
PID|1|FHATVIG0004521|SM00042094|SM42018|REGBATEST^WINTER^KNIGHT||19891212|M|||1234 HOLLAND RD^^SURREY^BC^V3T 5Y6|||||||SM003374/19|9876319136
PV1|1|E|SM.ERTWIZ||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201911041110|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||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|TR.PMHGR5^Past Medical History^ADM||1^Asthma~4^COPD~7^GI Disorder||||||F
OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||REGBATEST^WINTER^KNIGHT||1234 HOLLAND RD^^SURREY^BC^V3T 5Y6||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

