MSH|^~\&|ADM|RCH|||201911190902||ADT^A05|4107340|D|2.2|||AL|NE
EVN|A05|201911190902||||201911190800
PID|1|FHATVIG0006240|RC00007927|LM4861|CPATEST^BALL^TEST||19850505|F|||22 34AVE^^WHITE ROCK^BC|||||||RC000739/19|9875779148
PV1|1|P|RC.OR||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||RCH|||||201911190800|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|FA|F006016178^orange|MI|Constipation          ADR|20181012
ZFD|||||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

