MSH|^~\&|ADM|ARH|||202001101023||ADT^A04|4143692|D|2.2|||AL|NE
EVN|A04|202001101023||||202001101023
PID|1|FHATVIG0013009|AB00008471|AB8369|PCSTEST^OERULEARHCL||19650110|M|||34569 ACORN AVE^^ABBOTSFORD^BC^BC|||||||AB000971/19|
PV1|1|O|AB.BH||||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||202001101023|
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||||||

