MSH|^~\&|ADM|ARH|||202001210700||ADT^A04|4150087|D|2.2|||AL|NE
EVN|A04|202001210700||||202001190700
PID|1|FHATVIG0003545|AB00007380|MM2035|LABIRON^BABY^GIRL||20200111|F|||23568 LAITY STREET^^MAPLE RIDGE^BC^V2X 7Y4|||||||AB001043/19|9879193939
PV1|1|O|AB.DS||||.CANNOTID^ID^Cannot^^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||ARH|||||202001190700|
PV2|||LAB VISIT
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.CANNOTID^ID^Cannot^^^^^^OTH|
ZFH|LUMED||||||

