MSH|^~\&|ADM|ARH|||202001100958||ADT^A04|4143643|D|2.2|||AL|NE
EVN|A04|202001100958||||202001100958
PID|1|FHATVIG0013008|AB00008470|AB8368|PCSTEST^OERULESREGERARH||19850110|F|||34609 ACORN AVE^^ABBOTSFORD^BC^BC|||||||AB000970/19|
PV1|1|E|AB.ER||||EDMTEST^EDM Test Provider^Upgrade^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||202001100958|
PV2|||TEST PATIENT FOR PCSREF
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (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||||||

