MSH|^~\&|ADM|ERH|||202002071322||ADT^A01|4164239|D|2.2|||AL|NE
EVN|A01|202002071322||||202002071319
PID|1|FHATVIG0000070|ER00001691|DH2002|MITEST^HUMERUS^STEFAN||19680209|M|||206 WOODROW COURT^^DELTA^BC^V4X 8P5|||||||ER000085/19|9876573543
PV1|1|I|ER-1BE^ER1BE-103^A|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||GAST||||||||IN|||||||||||||||||||||ERH|||||202002071319|
PV2||S^Semi-Private - Non-Solicited|
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CC #^BCCA Client #^ADM||9348721||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20131010||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|9|TX|ADM RESQDD^DATE ASKED^ADM||20180326||||||F
OBX|10|TX|UPI ISO^^ADM||CAN||||||F
OBX|11|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|MA|CONTRASTMEDIA^Contrast Media|MI|Hallucinations        ADR|20180618
AL1|2|DA|F006008334^gadobutrol^^From Gadovist 1.0|MI|Skin eruptions        *AL|20190527
GT1|1||MITEST^HUMERUS^STEFAN||206 WOODROW COURT^^DELTA^BC^V4X 8P5||||||SP
ZFD|ITSTESTMF1^ITSTEST^MI^FAM DOC 1^^^MD^^DOC|32900 Marshall Road^^Abbotsford^BC^V2S 0C2|||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED|||||||||ENADMIN

