MSH|^~\&|ADM|RCH|||201912031144||ADT^A08|4122365|D|2.2|||AL|NE
EVN|A08|201912031144||||201912030800
PID|1|FHATVIG0005259|RC00007984|ER1565|CPATEST^FLUTE^TEST||19720905|M|||4444 FOUR DRIVE^^COQUITLAM^BC^V6Y 9O0|||||||RC000852/19|9875846335
PV1|1|P|RC.OR||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||RCH|||||201912030800|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|DA|F006001117^calcium carbonate*^^From Maalox Extra Strength|MO|Chest tightness       *AL|20180907
AL1|2|DA|F006002377^ibuprofen|MO|Nausea/vomiting       ADR|20180907
AL1|3|DA|F006003602^felodipine|MO|Tachycardia           ADR|20180907
AL1|4|FA|F006007427^oats|MO|Diarrhea              ADR|20180907
AL1|5|FA|F006008057^grape|MO|Seizures              ADR|20180907
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

