MSH|^~\&|ADM|SMH|||201912181139||ADT^A02|4130882|D|2.2|||AL|NE
EVN|A02|201912181139||||201912181139
PID|1|FHATVIG0001387|SM00040332|SM40286|PHATEST^STAR^WARS||20170108|M|||12345 JAKU DRIVE^^SURREY^BC^V1V1V1|||||||SM004944/17|
PV1|1|I|SM-3W^SM3W-320^A|EL||SM-3E^SM3E-305^A|.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||PEDM||||||||IN|||||||||||||||||||||SMH|||||201801081110|
PV2||S^Semi-Private - Non-Solicited|
OBX|1|ST|1010.1^WEIGHT^CPT4||3.628739||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||50||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170101||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

