MSH|^~\&|ADM|SMH|||201911201129||ADT^A13|4108499|D|2.2|||AL|NE
EVN|A13|201911201129||||201911201106
PID|1|FHATVIG0012491|SM00046977|SM46760|UCITEST^EMERG||19891212|F|||1212 MOST ST^^SURREY^BC^V3T 7Y6|||||||SM003558/19|9874860745
PV1|1|I|SM-N51^SMN51-002^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||ONCO||||||||IN|||||||||||||||||||||SMH|||||201911201031|
PV2||S^Semi-Private - Non-Solicited| ER > INPATIENT
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||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|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||UCITEST^EMERG||1212 MOST ST^^SURREY^BC^V3T 7Y6||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|GENPT^GENP^TEST^A^^^^0008^DOC||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||