MSH|^~\&|ADM|LMH|||202001061311||ADT^A04|4139617|D|2.2|||AL|NE
EVN|A04|202001061311||||202001061311
PID|1|FHATVIG0006416|LM00004944|LM4863|ADMTEST^D^D||19820507|U|||10-6758 TOUGH MUDDER CRES^^BURNABY^BC^V8F 3J4|||||||LM000665/19|9875748057
PV1|1|O|LM.CNCL/O||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||LMH|||||202001061311|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||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|TX|UPI ISO^^ADM||CAN||||||F
OBX|6|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^D^D||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|
ZFH|LUMED||||||

