MSH|^~\&|ADM|ARH|||202001210658||ADT^A04|4150077|D|2.2|||AL|NE
EVN|A04|202001210658||||202001190658
PID|1|FHATVIG0003546|AB00007342|AB7384|LABSILVER^BABY^GIRL||20190923|F|||12548 LAITY STREET^^MAPLE RIDGE^BC^V2X 7Y4|||||||AB001042/19|9879194006
PV1|1|O|AB.DS||||.CANNOTID^ID^Cannot^^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||ARH|||||202001190658|
PV2|||
OBX|1|TX|UPI ISO^^ADM||CAN||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.CANNOTID^ID^Cannot^^^^^^OTH|
ZFH|LUMED||||||

