MSH|^~\&|ADM|SMH|||202002140813||ADT^A01|4168367|D|2.2|||AL|NE
EVN|A01|202002140813||||202002140812
PID|1|FHATVIG0013340|SM00047396|SM47172|CWSROBERTS^IMPULSE^TRAIN|STEFANIE|19990802|F|||5804 71 ST^^MAPLE RIDGE^BC^V1A 0U1|||||||SM004169/19|
PV1|1|I|SM-S3S1^SMS3S1-302^B|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||202002140812|
PV2||S^Semi-Private - Non-Solicited|CYSTOSCOPY
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||N^NOT ASKED/NOTHING SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190214||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS^^^MSP||N^NO||||||F
GT1|1||CWSROBERTS^IMPULSE^TRAIN||5804 71 ST^^MAPLE RIDGE^BC^V1A 0U1||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENADMIN||

