MSH|^~\&|ADM|ARH|||201912120926||ADT^A05|4127941|D|2.2|||AL|NE
EVN|A05|201912120926||||201912121015
PID|1|FHATVIG0012701|AB00008405|RC7706|CPATEST^SNOW||19881221|F|||682 HOUSE ST^^VANCOUVER^BC|||||||AB000774/19|9874798589
PV1|1|P|AB-SDC||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||ARH|||||201912121015|
PV2|||
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191203||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||N||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

