MSH|^~\&|ADM|SMH|||202002140825||ADT^A11|4168415|D|2.2|||AL|NE
EVN|A11|202002140825||||202001210815
PID|1|FHATVIG0009499|SM00044893|SM44697|ADMBUTLER^TURBO^TRAIN|MICKY|19850311|F|||9697 207 ST^^PITT MEADOWS^BC^V3B 7K4|||||||SM002464/19|9875301754
PV1|1|P|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910021530|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190401||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVED HERE BEFORE ST EDMONTON, AB||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS^^^OAB||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS^^^OAB||123 LIVED HERE BEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS^^^OAB||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS^^^OAB||T0L1T0||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||FXREGRCR||

