MSH|^~\&|ADM|CGH|||202001091538||ADT^A04|4143251|D|2.2|||AL|NE
EVN|A04|202001091538||||202001091537
PID|1|FHATVIG0013000|CG00002255|CG2222|ITSTEST^JAN||19610109|F|||2020 MERRI WAY^^LANGLEY^BC^V2P 2B2|||||||CG000061/19|
PV1|1|O|CG.ASTHMA||||ZTESTTRANS^TEST^TRANS^^^^MD^^^^^^XX|||||||||||RCR|||||||||||||||||||||CGH|||||202001091537|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^0^DOC||||ZTESTTRANS^TEST^TRANS^^^^MD^^DOC|
ZFH|LUMED||||||

