MSH|^~\&|ADM|FCH|||202001021143||ADT^A01|4137608|D|2.2|||AL|NE
EVN|A01|202001021143||||202001021142
PID|1|FHATVIG0012898|FC00002127|FC2178|PCSTEST^FCHCOM||19350102|M|||123 Sunset drive^^Hope^BC^B4H 1HC|||||||FC000049/19|
PV1|1|I|FC-1E^FC1E-102^3|EL|||EDMTEST^EDM Test Provider^Upgrade^^^^^^^^^^XX|||ACE||||||||IN|||||||||||||||||||||FCH|||||202001021142|
PV2||W^Ward|
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20000101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|EDMTEST^EDM Test Provider^Upgrade^^^^^^DOC||||EDMTEST^EDM Test Provider^Upgrade^^^^^^DOC|EDMTEST^EDM Test Provider^Upgrade^^^^^^DOC|
ZFH|LUMED||||||

