MSH|^~\&|ADM|SMH|||202001060201||ADT^A03|4139006|D|2.2|||AL|NE
EVN|A03|202001060201||||20200105
PID|1|FHATVIG0009663|SM00045005|SM44807|STENHORSE^DANNY|SEBI|19980827|M|||12546 51 ST^^CHILIWACK^BC^V4E 6TY|||||||SM001049/19|9875291947
PV1|1|O|SM.ERT||||TEST12345^TEST12345^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201906191924|202001050001
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 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||||TEST12345^TEST12345^^^^^^^DOC|
ZFH|LUMED||||||

