MSH|^~\&|ADM|BH|||201912230846||ADT^A04|4133138|D|2.2|||AL|NE
EVN|A04|201912230845||||201912230845
PID|1|FHATVIG0012676|BH00005223|AB8296|UCIPACIFIC^TESTUP||19961225|M|||1111 DOLPHIN DRIVE^^SURREY^BC^V3K 4B5|||||||BH000432/19|9874802127
PV1|1|O|BH.CAST||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||BH|||||201912230845|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|FA|F006009637^strawberry|MI||20191202
GT1|1||UCIPACIFIC^UPTE||1111 DOLPHIN DRIVE^^SURREY^BC^V3K 4B5||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

