MSH|^~\&|ADM|CGH|||202002111415||ADT^A04|4165636|D|2.2|||AL|NE
EVN|A04|202002111415||||202002111415
PID|1|FHATVIG0013273|CG00002263|CG2231|ADMTEST^NACRS^ERBLUE||19771108|M|||3312 144 ST^^SURREY^BC^V0V 0V0|||||||CG000073/19|
PV1|1|E|CG.ER||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||CGH|||||202002111415|
PV2|||TEST STATED COMPLAINT
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|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|202002111415|3|||||||ENREGER

