MSH|^~\&|ADM|ARH|||201912031026||ADT^A04|4122272|D|2.2|||AL|NE
EVN|A04|201912031026||||201912031025
PID|1|FHATVIG0012694|AB00008383|AB8300|UCIFRASER^UPTEST||19881224|M|||90 WORST AVE^^VANCOUVER^BC^V3R 4Y3|||||||AB000726/19|9874970189
PV1|1|O|AB.MI||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||ARH|||||201912031025|
PV2|||PARIS ID 500975
OBX|1|TX|UPI ISO^^ADM||CAN||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCIFRASER^UPTEST||90 WORST AVE^^VANCOUVER^BC^V3R 4Y3||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

