MSH|^~\&|ADM|ARH|||201912111426||ADT^A13|4127574|D|2.2|||AL|NE
EVN|A13|201912111426||||201912111424
PID|1|FHATVIG0012701|AB00008405|RC7706|CPATEST^SNOW||19881221|F|||682 HOUSE ST^^VANCOUVER^BC^V8U 3R5|||||||AB000768/19|9874798589
PV1|1|E|AB.ER|||AB.ER|ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||201912111422|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191203||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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||N||||||F
OBX|7|TX|UPI ISO^^ADM||CAN||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||