MSH|^~\&|ADM|ARH|||201910181440||ADT^A08|4084022|D|2.2|||AL|NE
EVN|A08|201910181440||||201910181424
PID|1|FHATVIG0012015|AB00008297|AB8204|MEDITECH^TEST^MIBCCA||19791018|F|||123 BLUEBIRD LANE^^ABBOTSFORD^BC^V1V 1V1|||||||AB000578/19|
PV1|1|O|AB.MI||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||ARH|||||201910181424|
PV2|||
OBX|1|TX|ADM CC #^BCCA Client #^ADM||777777777||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

