MSH|^~\&|ADM|SMH|||201911281533||ADT^A05|4117074|D|2.2|||AL|NE
EVN|A05|201911281533||||201904161130
PID|1|FHATVIG0001261|SM00044430|AB6926|MITEST^SCAPULA||20181225|F|||567 MARSHALL STREET^^ABBOTSFORD^BC^V4T 5N1|||||||SM000165/19|9876419457
PV1|1|P|SM.MI||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201904161130|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19921212||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|DA|F006001831^pseudoephedrine^^From Advil Cold and Sinus|MO|Tachycardia           ADR|20181015|.;
AL1|2|DA|F006002377^ibuprofen^^From Advil Cold and Sinus|MO|Tachycardia           ADR|20181015|.;
AL1|3|DA|F006004787^diphenhydramine^^From Advil Nighttime|MI|Dizziness             ADR|20181217
ZFD|ITSTESTREF^ITSTEST^MI^REF DOC1^^^MD^^DOC|UNKNOWN^^SURREY^BC^V0L 0P0|||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

