MSH|^~\&|ADM|LMH|||201912201324||ADT^A01|4132992|D|2.2|||AL|NE
EVN|A01|201912201324||||201912200800
PID|1|FHATVIG0006416|LM00004944|LM4863|ADMTEST^DEEP^DISH||19820507|U|||10-6758 TOUGH MUDDER CRES^^BURNABY^BC^V8F 3J4|||||||LM000655/19|9875748057
PV1|1|I|LM-3N^LM3N-338^1|EL|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||LMH|||||201912200800|
PV2||P^Private - Non-Solicited|OBS TEST
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^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMTEST^DEEP^DISH||10-6758 TOUGH MUDDER CRES^^BURNABY^BC^V8F 3J4||||||SP
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||||||

