MSH|^~\&|ADM|MSA|||201912031334||ADT^A08|4122613|D|2.2|||AL|NE
EVN|A08|201912031334||||
PID|1|FHATVIG0012693|AB00008382|AB8299|PCSTEST^MIMIKYU||19551203|M|||456 MAIN ST^^REGINA^SK^S7H 3j9|||||||MS000004/19|
PV1|1|I|MS-WP1W^MSWP1W-43^1|EL|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||RH-GEN||||||||IN|||||||||||||||||||||MSA|||||201912030901|
PV2||P^Private - Non-Solicited|
OBX|1|ST|1010.1^WEIGHT^CPT4||83.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||178.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170616||||||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|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||