MSH|^~\&|ADM|ARH|||202002040858||ADT^A04|4160956|D|2.2|||AL|NE
EVN|A04|202002040858||||202002040858
PID|1|FHATVIG0013102|AB00008523|AB8388|UCIONE^UCITESTBOB||19920324|M|||3269 SPRINGHILL ST^^ABBOTSFORD^BC^V4K 4L3|||||||AB001114/19|9874753823
PV1|1|E|AB.ERZ1||||DOCT^DOC^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||202002040858|
PV2|||TESTING AMAR FOR HOLDBACK CANCELED
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCS^BC Services (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|TEST12345^TEST12345^^^^^^^DOC||DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED|||||||||ENREGER

