MSH|^~\&|ADM|SMH|||201910291020||ADT^A04|4092621|D|2.2|||AL|NE
EVN|A04|201910291020||||201910291019
PID|1|FHATVIG0011395|SM00046130|SM45926|ADMPERRY^AZTEK^TRAIN|STEFANIE|19950817|F|||5374 295 AVE^^MAPLE RIDGE^BC^V4M 7M2|||||||SM002461/19|9875026648
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910291019|
PV2|||DIABETES
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMPERRY^AZTEK^TRAIN||5374 295 AVE^^MAPLE RIDGE^BC^V4M 7M2||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

