MSH|^~\&|ADM|RCH|||201912031202||ADT^A11|4122401|D|2.2|||AL|NE
EVN|A11|201912031202||||20191203
PID|1|FHATVIG0005260|RC00007985|ER1566|CPATEST^GUITAR^TEST||19730906|F|||55555 FIVE^^PORT COQUITLAM^BC|||||||RC000853/19|9875846263
PV1|1|I|RC-T3S||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||GYNE||||||||IN|||||||||||||||||||||RCH|||||201912030800|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

