MSH|^~\&|ADM|SMH|||202002121147||ADT^A04|4166478|D|2.2|||AL|NE
EVN|A04|202002121147||||202002121147
PID|1|FHATVIG0013301|SM00047366|SM47142|ADMPARKER^RAMCHARGER^TRAIN|LESLEY|19670809|M|||1133 149 AVE^^NEW WESTMINSTER^BC^V3J 4B0|||||||SM004137/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002121147|
PV2|||LAB TEST
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMPARKER^RAMCHARGER^TRAIN||1133 149 AVE^^NEW WESTMINSTER^BC^V3J 4B0||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENREGCLI

