MSH|^~\&|ADM|COM|||202002061538||ADT^A04|4163610|D|2.2|||AL|NE
EVN|A04|202002061538||||202002061531
PID|1|FHATVIG0013251|CM00001054|CM1036|DAFFY^DUCK||19340206|M|||9440 202 ST^^LANGLEY^BC^V1M 1A8|||||||CM000017/19|
PV1|1|O|CM.CRP||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||COM|||||202002061531|
PV2|||COMMUNITY RESPIRATORY SERVICES
OBX|1|TX|CRS AS0210^Seen At Home? - Yes/No^ADM||N||||||F
OBX|2|CE|CRS AS0211^Clinic:^ADM||0^Aggasiz Clinic||||||F
OBX|3|TX|CRS PD0001^Referral Date:^ADM||||||||F
OBX|4|CE|CRS PD0025^Client Type:^ADM||COPD EDU^COPD Education||||||F
OBX|5|TX|CRS PD0057^% HOP Coverage:^ADM||0||||||F
OBX|6|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||DAFFY^DUCK||9440 202 ST^^LANGLEY^BC^V1M 1A8||||||SP
ZFD|WITTMANR^Wittmann^Rita^^^^^24333^DOC|205-22112 52 Ave^^Langley^BC^V2Y 2M6|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||ENREGRCR

