MSH|^~\&|ADM|SMH|||202002031029||ADT^A08|4159955|D|2.2|||AL|NE
EVN|A08|202002031029||||202002031023
PID|1|FHATVIG0013198|SM00047324|SM47099|EMRTEST^CCI^TEST||19800202|M|||1122 ONETWO STREET^^SURREY^BC^BC|||||||SM004073/19|9874751987
PV1|1|I|SM-S1S1^SMS1S1-1^A|EL-3|||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||202002031023|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170509||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||DNA-SMH-03/02/20|||EEVIPCON

