MSH|^~\&|ADM|SCSC|||202001281020||ADT^A04|4157336|D|2.2|||AL|NE
EVN|A04|202001281020||||202001281020
PID|1|FHATVIG0013159|SU00004123|RC7788|TESTVPNEW^LADY^X||19770516|F|||7777 22 STREET^^LANGLEY^BC^V0V 0V0|||||||SU000430/19|9454336543
PV1|1|O|SU.MFM||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SCSC|||||202001281020|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180207||||||F
OBX|2|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|3|TX|ADM RESQDD^DATE ASKED^ADM||20200128||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^0^DOC||||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||ENREGRCR

