MSH|^~\&|ADM|RCH|||201911201048||ADT^A08|4108371|D|2.2|||AL|NE
EVN|A08|201911201048||||201911200830
PID|1|FHATVIG0005266|RC00007930|RM3107|CPATEST^SAXOPHONE^TEST||19780911|M|||10 TEN STREET^^PITT MEADOWS^BC^BC|||||||RC000748/19|9875846177
PV1|1|P|RC-T3S||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||RCH|||||201911200830|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|DA|F006001179^mineral oil^^From Magnolax|MO|Dizziness             ADR|20180907
AL1|2|DA|F006001186^magnesium hydroxide^^From Magnolax|MO|Dizziness             ADR|20180907
AL1|3|DA|F006001677^baclofen|MI|Anxiety/agitation     ADR|20180907
AL1|4|FA|F006002424^papaya|MO|Shortness of Breath   *AL|20180907
AL1|5|DA|F006007680^rabeprazole|MI|Hives/Urticaria       *AL|20180907
AL1|6|FA|F006016069^pecan nut|MO|Tachycardia           ADR|20180907
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

