MSH|^~\&|ADM|COM|||202002041102||ADT^A04|4161149|D|2.2|||AL|NE
EVN|A04|202002041102||||202002041059
PID|1|FHATVIG0013209|CM00001052|CM1034|CHINA^SEA||19470104|F|||9440 202 ST^^LANGLEY^BC^V1M 4A6|||||||CM000015/19|
PV1|1|O|CM.CRP||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||COM|||||202002041059|
PV2|||COMMUNITY RESPIRATORY SERVICES
OBX|1|TX|CRS AS0210^Seen At Home? - Yes/No^ADM||Y||||||F
OBX|2|CE|CRS PD0020^Client's Location on Referral:^ADM||Acute ARH^Acute Care - ARH||||||F
OBX|3|CE|CRS PD0025^Client Type:^ADM||HOME O2^Home O2 Program||||||F
OBX|4|CE|CRS PD0050^Diagnostic Group:^ADM||RESP^Respiratory||||||F
OBX|5|CE|CRS PD0052^Primary Dx:^ADM||COPD^COPD||||||F
OBX|6|TX|CRS PD0057^% HOP Coverage:^ADM||100||||||F
OBX|7|TX|CRS REFDT1^CRS Program Referral Date:^ADM||20200402||||||F
OBX|8|CE|CRS RX0001^System:^ADM||C^Conc w/OCD||||||F
OBX|9|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^Liquid/O2 only||||||F
GT1|1||CHINA^SEA||9440 202 ST^^LANGLEY^BC^V1M 4A6||||||SP
ZFD|WITTMANR^Wittmann^Rita^^^^^24333^DOC|205-22112 52 Ave^^Langley^BC^V2Y 2M6|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||ENREGRCR

