MSH|^~\&|ADM|FCH|||202001141106||ADT^A04|4145841|D|2.2|||AL|NE
EVN|A04|202001141105||||202001141105
PID|1|FHATVIG0013023|FC00002130|FC2182|TMLTEST^FCH^ROSE||19900114|F|||.^^.^.^321|||||||FC000053/19|
PV1|1|O|FC.ER||||GREGGAIJ^Greggain^Joshua^^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||FCH|||||202001141105|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||U||||||F
ZFD|GREGGAIJ^Greggain^Joshua^^^^^28496^DOC|PO Box 1000; 735 4TH Avenue^The Hope Medical Center^Hope^BC^V0X 1L0|||GREGGAIJ^Greggain^Joshua^^^^^28496^DOC|
ZFH|LUMED||||||

