MSH|^~\&|ADM|SMH|||202001231047||ADT^A08|4152738|D|2.2|||AL|NE
EVN|A08|202001231047||||202001231038
PID|1|FHATVIG0007383|SM00043722|SM43565|REGBATEST^INPATIENT^ONE||19670202|F|||1234 NUMBER RD^^SURREY^BC^V3T 5Y5|||||||SM004009/19|9875618399
PV1|1|O|SM.MORG||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||SMH|||||202001231038|
PV2|||CCI 202 RELEASED MCD@DR JONES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||REGBATEST^INPATIENT^ONE||1234 NUMBER RD^^SURREY^BC^V3T 5Y5||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

