MSH|^~\&|ADM|BH|||201911201401||ADT^A04|4109026|D|2.2|||AL|NE
EVN|A04|201911201401||||201911201401
PID|1|FHATVIG0011882|BH00005204|AB8192|UCIRISSO^UPTEST||19881030|M|||278 11TH AVE^^BURNABY^BC^V6M 5J6|||||||BH000413/19|9874971539
PV1|1|O|BH.CAST||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||BH|||||201911201401|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20101028||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCIRISSO^UPTEST||278 11TH AVE^^BURNABY^BC^V6M 5J6||||||SP
ZFD|PRACT^PRACTISE^TEST^A^^^^0005^DOC|10 - 96 STREET^^SURREY^BC^V4H 5N6|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

