MSH|^~\&|ADM|SMH|||202002111053||ADT^A04|4165416|D|2.2|||AL|NE
EVN|A04|202002111053||||202002111052
PID|1|FHATVIG0002425|SM00047355|AB7247|UCITEST^APRIL||19891212|F|||1234 JAMES RD^^SURREY^BC^V3T 5Y6|||||||SM004124/19|9876198581
PV1|1|E|SM.ERTWIZ||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||202002111052|
PV2|||PAIN IN LOWER BACK
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190110||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED|||ORBACKMOD|Back Pain, Moderate|||||ENREGER

