MSH|^~\&|ADM|ARH|||202002051126||ADT^A03|4162405|D|2.2|||AL|NE
EVN|A03|202002051126||||202002051125
PID|1|FHATVIG0012702|AB00008384|AB8303|UCIINS^TESTP||19850423|F|||100-25 APPLE PL^^SURREY^BC^V5X 3N3|||||||AB001121/19|9874798571
PV1|1|E|AB.ER||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||202002051018|202002051125
PV2|||BACK PAIn
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20070101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||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|OE ERDCGI^Digestive:^ADM||K219^Gastroesoph reflux dis||||||F
OBX|7|CE|OEERDCDIAG^System Diagnosis:^ADM||GI^Digestive||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED|||ORBACKMOD|Back Pain, Moderate|||||ENDEPER

