MSH|^~\&|ADM|LMH|||202001281112||ADT^A06|4157370|D|2.2|||AL|NE
EVN|A06|202001281112||||202001281112
PID|1|FHATVIG0013155|LM00005517|LM5323|REGBATEST^VERIFY^PHYSICIAN||19690202|M|||5517 VERIFY WAY^^SURREY^BC^V3T 5Y5|||||||LM000740/19|
PV1|1|I|LM-2S^LM2S-205^2|UE||LM.ER|GENPT^GENP^TEST^A^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||LMH|||||202001281112|
PV2||S^Semi-Private - Non-Solicited|
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|3|TX|ADM FAM 4^FAMILY PHYSICIAN VERIFIED?^ADM||N||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||REGBATEST^VERIFY^PHYSICIAN||5517 VERIFY WAY^^SURREY^BC^V3T 5Y5||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|.ERGP^Generic^ER^Physician^^^^^OTH||GENPT^GENP^TEST^A^^^^0008^DOC|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED|||||||||ENADMIN