MSH|^~\&|ADM|ARH|||201912101030||ADT^A04|4126277|D|2.2|||AL|NE
EVN|A04|201912101029||||201912101028
PID|1|FHATVIG0012758|AB00008393|AB8314|UCIONE^UCITESTAMAR|UCITEST|19851210|M|||13450 University Way^^Surrey^BC^V3K 4K3|||||||AB000754/19|
PV1|1|E|AB.ERZ2||||DOCT^DOC^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||201912101028|
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|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||||||

