MSH|^~\&|ADM|FCH|||201912201355||ADT^A04|4132999|D|2.2|||AL|NE
EVN|A04|201912201355||||201912201355
PID|1|FHATVIG0006416|FC00002125|LM4863|ADMTEST^DEEP^DISH||19820507|U|||10-6758 TOUGH MUDDER CRES^^BURNABY^BC^V8F 3J4|||||||FC000047/19|9875748057
PV1|1|O|FC.CANCEL||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||FCH|||||201912201355|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^DEEP^DISH||10-6758 TOUGH MUDDER CRES^^BURNABY^BC^V8F 3J4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

