MSH|^~\&|ADM|CGH|||202001100903||ADT^A04|4143447|D|2.2|||AL|NE
EVN|A04|202001100902||||202001100902
PID|1|FHATVIG0013003|CG00002257|CG2225|PCSTEST^OERULECGHCL||19650110|F|||987-58 AVE^^CHILLIWACK^BC^BC|||||||CG000064/19|
PV1|1|O|CG.HMIV||||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||||||||||RCR|||||||||||||||||||||CGH|||||202001100902|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||

