MSH|^~\&|ADM|ARH|||201912301306||ADT^A03|4137077|D|2.2|||AL|NE
EVN|A03|201912301306||||201912301306
PID|1|FHATVIG0012881|AB00008455|AB8353|EDMTEST^WENDY1||19861230|F|||555^STREET^SURREY^BC^VCVCVC|||||||AB000896/19|
PV1|1|E|AB.ER||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||201912300944|201912301306
PV2|||TESTING
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^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|5|TX|EDWORK^How many days off work?^ADM||2||||||F
OBX|6|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|||NEW|New Patient||