MSH|^~\&|ADM|RCH|||201911221301||ADT^A05|4111547|D|2.2|||AL|NE
EVN|A05|201911221301||||201911221015
PID|1|FHATVIG0005254|RC00007940|AB7598|CPATEST^ACCORDION^TEST||19680901|M|||90210 LANE^^ABBOTSFORD^BC|||||||RC000775/19|9875846446
PV1|1|P|RC-T4S||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||ORTH||||||||IN|||||||||||||||||||||RCH|||||201911221015|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19990709||||||F
AL1|1|DA|F006001605^acetaminophen|MI|Diarrhea              ADR|20180907
AL1|2|FA|F006002473^peanut oil|SV|Anaphylaxis           *AL|20180907
AL1|3|FA|F006007909^peach|MI|Constipation          ADR|20180907
AL1|4|FA|F006016178^orange|MO|Hives/Urticaria       *AL|20180907
AL1|5|MA|LATEX^Latex|MI|Chest tightness       *AL|20180907
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

