MSH|^~\&|ADM|RCH|||201912021028||ADT^A05|4121464|D|2.2|||AL|NE
EVN|A05|201912021028||||201912021005
PID|1|FHATVIG0010813|RC00007846|RC7594|CWSTEST^ECTPAT10||19990922|M||||||||||RC000844/19|
PV1|1|P|RC.ECT||||RAMPERTN^Ramperti^Nicolas^M^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||RCH|||||201912021005|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|BOYERD^Boyer^Dory^S^^^^28182^DOC|403 - 233 Nelsons Crescent^^New Westminster^BC^V3L 0E4|||RAMPERTN^Ramperti^Nicolas^M^^^^66055^DOC|
ZFH|LUMED||||||

