MSH|^~\&|ADM|SMH|||201911141317||ADT^A06|4105490|D|2.2|||AL|NE
EVN|A06|201911141317||||201911141314
PID|1|FHATVIG0012406|SM00046914|SM46700|CWSBUTLER^ECLIPSE^TRAIN|LANG|19850224|F|||1129 270 ST^^NORTH VANCOUVER^BC^V5R 2K4|||||||SM003485/19|9874890042
PV1|1|I|SM-S2FBU2^SMFBU2-211^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201911141314|
PV2||W^Ward|ASSESSMENT
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON,AB T0L 1A9||||||F
OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|8|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|9|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|10|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|11|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|12|TX|INS OPCAD5^Postal Code^INS||T0L1A9||||||F
OBX|13|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSBUTLER^ECLIPSE^TRAIN||1129 270 ST^^NORTH VANCOUVER^BC^V5R 2K4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||