MSH|^~\&|ADM|SMH|||201912181046||ADT^A04|4130796|D|2.2|||AL|NE
EVN|A04|201912181046||||201912181045
PID|1|FHATVIG0012620|SM00047151|AB8291|UCIERTOIP^PTEST||19960917|F|||37 APPLE ST^^SURREY^BC^V5X 3N3|||||||SM003805/19|9874809911
PV1|1|E|SM.ERTAC1||||EMRDOCTEST^EMRDOC^TEST^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201912181045|
PV2|||BACK PAIN
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170101||||||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^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|EMRDOCTEST^EMRDOC^TEST^^^^^^DOC|
ZFH|LUMED||||||