MSH|^~\&|ADM|RCH|||201912091456||ADT^A05|4125910|D|2.2|||AL|NE
EVN|A05|201912091456||||201912091405
PID|1|FHATVIG0012754|RC00007995|RC7712|CPATEST^CWSINTERFACE||19691031|F||||||||||RC000889/19|
PV1|1|P|RC.NSC||||RAMPERTN^Ramperti^Nicolas^M^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||RCH|||||201912091405|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD||||ORDOCTA^Ordoct^Anesthesia^^^^^^^DOC|RAMPERTN^Ramperti^Nicolas^M^^^^66055^DOC|
ZFH|LUMED||||||

