MSH|^~\&|ADM|ARH|||201912131335||ADT^A04|4128937|D|2.2|||AL|NE
EVN|A04|201912131335||||201912131335
PID|1|FHATVIG0000746|AB00008415|RM3019|CPATEST^CAT^TEST||18700101|M|||22435 RIVER RD^^MAPLE RIDGE^BC^V0M 1V0|||||||AB000792/19|9876487245
PV1|1|O|AB.OR||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||ARH|||||201912131335|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20150530||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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
AL1|1|MA| NKDA^No Known Drug Allergies.|||20181127
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

