MSH|^~\&|ADM|MMH|||202001080947||ADT^A04|4141864|D|2.2|||AL|NE
EVN|A04|202001080947||||202001080947
PID|1|FHATVIG0012959|MM00002127|MM2116|PCSTEST^OERULESREGERMMH||19520108|F|||123 Sunny Dr.^^Surrey^BC^245367|||||||MM000069/19|
PV1|1|E|MM.ER||||EDMTEST^EDM Test Provider^Upgrade^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||MMH|||||202001080947|
PV2|||Testing OEPCSREF rules REG ER
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||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|EDMTEST^EDM Test Provider^Upgrade^^^^^^DOC||EDMTEST^EDM Test Provider^Upgrade^^^^^^DOC|
ZFH|LUMED||||||

