MSH|^~\&|ADM|RCH|||202001280948||ADT^A04|4157264|D|2.2|||AL|NE
EVN|A04|202001280948||||202001280948
PID|1|FHATVIG0002189|RC00007760|SU3597|TESTVP6^LADY^A||19900115|F|||123 5TH STREET^^SURREY^BC^V3T 5U7|||||||RC001075/19|9132498348
PV1|1|O|RC.MFM||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||RCH|||||202001280948|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||Y^Yes||||||F
OBX|3|TX|ADM RESQDD^DATE ASKED^ADM||20010101||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED|||||||||ENREGRCR

