MSH|^~\&|ADM|SMH|||201911121852||ADT^A04|4103919|D|2.2|||AL|NE
EVN|A04|201911121852||||201911121852
PID|1|FHATVIG0011707|SM00046422|SM46213|ADMSTENJACK^CINDY|SONIA|19821212|F|||1234 PINK TICK ROAD^^MAPLE RIDGE^BC^V4P 5P1|||||||SM003469/19|9874987405
PV1|1|O|SM.SDC||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201911121852|
PV2|||
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||Y||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20141009||||||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^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|TX|ADM MN^Enter Patient's Maiden Name:^ADM||SONIA||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENJACK^CINDY||1234 PINK TICK ROAD^^MAPLE RIDGE^BC^V4P 5P1||||||SP
ZFD|METHVENP^Methven^Peter^G^^^^08009^DOC|104-22112 52 Avenue^^Langley^BC^V2Y 2M6|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||