MSH|^~\&|ADM|DH|||201912111500||ADT^A11|4127660|D|2.2|||AL|NE
EVN|A11|201912111500||||20191211
PID|1|FHATVIG0012695|DH00002190|RC7702|CPATEST^SCHOOL||19981024|F|||555 FAKE ST^^VANCOUVER^BC^V7Y 2R3|||||||DH000052/19|9874798786
PV1|1|O|DH.PAC||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||DH|||||20191211|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191203||||||F
OBX|2|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|3|TX|ADM RESQDD^DATE ASKED^ADM||20191203||||||F
OBX|4|TX|UPI ISO^^ADM||CAN||||||F
OBX|5|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

