MSH|^~\&|ADM|DH|||201912030858||ADT^A04|4122251|D|2.2|||AL|NE
EVN|A04|201912030858||||201912030857
PID|1|FHATVIG0007686|DH00002185|AB7835|CCNHABOYTE^JANEE||19120110|F|||3988 LAUKITIS MAN^^COURTNEY^BC^V9D 6G0|||||||DH000044/19|9698718969
PV1|1|O|DH.CAST||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||DH|||||201912030857|
PV2|||BROKEN ARM
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20071121||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||CCNHABOYTE^JANEE||3988 LAUKITIS MAN^^COURTNEY^BC^V9D 6G0||||||SP
ZFD|ADMT^ADM^TEST^A GENP^^^^002^DOC|123 ANY STREET^^SURREY^BC^V3H 5N6|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

