MSH|^~\&|ADM|SMH|||201911201000||ADT^A05|4108228|D|2.2|||AL|NE
EVN|A05|201911201000||||201911211000
PID|1|FHATVIG0011882|SM00046976|AB8192|UCIRISSO^UPTEST||19881030|M|||278 11TH AVE^^BURNABY^BC^V6M 5J6|||||||SM003557/19|9874971539
PV1|1|P|SM-3E||||GENPT^GENP^TEST^A^^^^^^^^^XX|||INTM||||||||IN|||||||||||||||||||||SMH|||||201911211000|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|PRACT^PRACTISE^TEST^A^^^^0005^DOC|10 - 96 STREET^^SURREY^BC^V4H 5N6|||GENPT^GENP^TEST^A^^^^0008^DOC|TEST12345^TEST12345^^^^^^^DOC|
ZFH|LUMED||||||

