MSH|^~\&|ADM|SMH|||202002141143||ADT^A08|4168965|D|2.2|||AL|NE
EVN|A08|202002141143||||201909091109
PID|1|FHATVIG0007723|SM00043894|SM43736|TMLTESTNAME^SMH^PACKAGE||19680829|F|||111 HERE ST.^^SURREY^BC^P4P4I5|||||||SM001965/19|9875606459
PV1|1|E|SM.ERTAC1||||#SMH-AD^Daycare^#SMH-Ambulatory^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201909091109|
PV2|||
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||Y^YES||||||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|TX|UPI ISO^^ADM||CAN||||||F
OBX|6|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS^^^MSP||N||||||F
ZFD|#SMH-AD^Daycare^#SMH-Ambulatory^^^^^^LOCATION|13750 96 Avenue^Surrey Memorial Hospital^Surrey^BC^V3V 1Z2|#SMH-AD^Daycare^#SMH-Ambulatory^^^^^^LOCATION|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||EDREGER||

