MSH|^~\&|ADM|CGH|||202002041526||ADT^A01|4161624|D|2.2|||AL|NE
EVN|A01|202002041526||||202002041525
PID|1|FHATVIG0013100|CG00002262|AB8386|UCIONE^UCITESTARWIN|LAX|19930330|M|||33376 HUNTINGTON ROAD^^ABBOTSFORD^BC^V3Y 5K3|||||||CG000071/19|9874753855
PV1|1|I|CG-AD^CGAD-01^4|EL-1|||DOCT^DOC^TEST^A^^^^^^^^^XX|||CARD||||||||IN|||||||||||||||||||||CGH|||||202002041525|
PV2||W^Ward|TESTING AMAR
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191210||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCS^BC Services (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|TEST12345^TEST12345^^^^^^^DOC||||DOCT^DOC^TEST^A^^^^0006^DOC|DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED|||||||||ENADMIN

