MSH|^~\&|ADM|SMH|||202001131500||ADT^A01|4145047|D|2.2|||AL|NE
EVN|A01|202001131500||||202001131457
PID|1|FHATVIG0013014|SM00047233|SM47012|SMITHSON^LUMED||19711110|F|||1845 KENNEDY RD^^SURREY^BC^V1M 2R1|||||||SM003928/19|9923981723
PV1|1|I|SM-N42^SMN42-019^B|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||CARD||||||||IN|||||||||||||||||||||SMH|||||202001131457|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181209||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

