MSH|^~\&|ADM|FCH|||201911221302||ADT^A08|4111550|D|2.2|||AL|NE
EVN|A08|201911221302||||
PID|1|FHATVIG0012528|FC00002120|FC2172|PHATEST^CELERY||19991120|M|||1275 7 AVE^^HOPE^BC^V0X 1L4|||||||FC000040/19|9874854924
PV1|1|E|FC.ER||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||FCH|||||201911211217|
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
AL1|1|DA|F001900590^No Known Drug Allergies|||20191121
AL1|2|MA|LATEX^Latex|||20191122|Topical allergy;
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||