MSH|^~\&|ADM|SMH|||202002051116||ADT^A08|4162382|D|2.2|||AL|NE
EVN|A08|202002051116||||202002051109
PID|1|FHATVIG0013216|SM00047331|SM47106|MYCTEST^WALLPAPER||19800202|F|||123 INTERIOR ST^^SURREY^BC^V3A 1X1|||||||SM004089/19|9874751582
PV1|1|O|SM.NCDU||||ADMT^ADM^TEST^A GENP^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202002051109|
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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|PRACT^PRACTISE^TEST^A^^^^0005^DOC|10 - 96 STREET^^SURREY^BC^V4H 5N6|||ADMT^ADM^TEST^A GENP^^^^002^DOC|
ZFH|LUMED|||||||||EDREGRCR

