MSH|^~\&|ADM|RCH|||201911201116||ADT^A05|4108405|D|2.2|||AL|NE
EVN|A05|201911201116||||201911201300
PID|1|FHATVIG0005268|RC00007933|SU3616|CPATEST^UKULELE^TEST||19800913|M|||30 THIRTY DRIVE^^SURREY^BC|||||||RC000751/19|9875846145
PV1|1|P|RC-T4S||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||ORTH||||||||IN|||||||||||||||||||||RCH|||||201911201300|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|FA|F006000600^caffeine|MO|Tachycardia           ADR|20180907
AL1|2|DA|F006001241^lactulose|MO|High Blood Pressure   ADR|20180907
AL1|3|DA|F006003476^omeprazole|MI|Diarrhea              ADR|20180907
AL1|4|DA|F006003585^ramipril|MO|Constipation          ADR|20180907
AL1|5|FA|F006010861^blueberry|MI|Angioedema            *AL|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||||||

