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EVN|A04|201911081421||||201911081421
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PV1|1|O|SU.AMSDC||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SCSC|||||201911081421|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20160110||||||F
OBX|2|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|3|TX|ADM RESQDD^DATE ASKED^ADM||20191108||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ITSTESTMF1^ITSTEST^MI^FAM DOC 1^^^MD^^DOC|32900 Marshall Road^^Abbotsford^BC^V2S 0C2|||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

