MSH|^~\&|ADM|RCH|||201912151436||ADT^A04|4129218|D|2.2|||AL|NE
EVN|A04|201912151436||||201912151434
PID|1|FHATVIG0012794|RC00007998|RC7715|HAZLETT^MARY||19550821|F|||5960 ANGUS PLACE^^SURREY^BC^V3S 4W7|||||||RC000931/19|
PV1|1|O|RC.ZB9998||||SIRRSS^Sirrs^Sandra^M.^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||RCH|||||201912151434|
PV2|||LLABS
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SIRRSS^Sirrs^Sandra^M.^^^^23008^DOC|
ZFH|LUMED||||||

