MSH|^~\&|ADM|RMH|||202002120739||ADT^A04|4166006|D|2.2|||AL|NE
EVN|A04|202002120739||||202002120739
PID|1|FHATVIG0013290|RM00003615|RM3191|ORMSX^EYEBALL^TEST||19600101|F|||123 ONETWOTHREE STREET^^Maple Ridge^BC^BC|||||||RM000163/19|
PV1|1|O|RM.OR||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||RMH|||||202002120739|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19950623||||||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|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED|||||||||ENREGSDC

MSH|^~\&|ADM||||202002120740||ADT^MRIPHNDODUPDATE|4166013|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202002120740
PID|1|FHATVIG0013290||RM3191|ORMSX^EYEBALL^TEST||19600101|F|||123 ONETWOTHREE STREET^^Maple Ridge^BC^BC||||||||9874747124
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED|||||||||NMIPHN

MSH|^~\&|ADM|RMH|||202002120740||ADT^A08|4166014|D|2.2|||AL|NE
EVN|A08|202002120740||||202002120739
PID|1|FHATVIG0013290|RM00003615|RM3191|ORMSX^EYEBALL^TEST||19600101|F|||123 ONETWOTHREE STREET^^Maple Ridge^BC^BC|||||||RM000163/19|9874747124
PV1|1|O|RM.OR||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||RMH|||||202002120739|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19950623||||||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|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED|||||||||EDREGSDC

