MSH|^~\&|ADM|ARH|||201911190941||ADT^A05|4107368|D|2.2|||AL|NE
EVN|A05|201911190941||||201911190800
PID|1|FHATVIG0012460|AB00008355|RC7674|CPATEST^BASELINE||19861011|M|||123 FAKE ST^^VANCOUVER^BC^V3R 2B4|||||||AB000674/19|9874875025
PV1|1|P|AB-3BAKER||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||ARH|||||201911190800|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191115||||||F
OBX|2|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|3|TX|ADM RESQDD^DATE ASKED^ADM||20191115||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

