MSH|^~\&|ADM|ARH|||201912021040||ADT^A04|4121505|D|2.2|||AL|NE
EVN|A04|201912021040||||201912021040
PID|1|FHATVIG0012676|AB00008379|AB8296|UCIPACIFIC^UPTE||19961225|M|||1111 DOLPHIN DRIVE^^SURREY^BC^V3K 4B5|||||||AB000723/19|
PV1|1|O|AB.MI||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||ARH|||||201912021040|
PV2|||CREATE DUPLICATE
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCIPACIFIC^UPTE||1111 DOLPHIN DRIVE^^SURREY^BC^V3K 4B5||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912021041||ADT^MRIPHNDODUPDATE|4121513|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912021041
PID|1|FHATVIG0012676||AB8296|UCIPACIFIC^UPTE||19961225|M|||1111 DOLPHIN DRIVE^^SURREY^BC^V3K 4B5||||||||9874802127
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912021041||ADT^MRIPHNDODUPDATE|4121515|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912021041
PID|1|FHATVIG0012676||AB8296|UCIPACIFIC^UPTE||19961225|M|||1111 DOLPHIN DRIVE^^SURREY^BC^V3K 4B5||||||||9874802127
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||201912021041||ADT^A08|4121516|D|2.2|||AL|NE
EVN|A08|201912021041||||201912021040
PID|1|FHATVIG0012676|AB00008379|AB8296|UCIPACIFIC^UPTE||19961225|M|||1111 DOLPHIN DRIVE^^SURREY^BC^V3K 4B5|||||||AB000723/19|9874802127
PV1|1|O|AB.MI||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||ARH|||||201912021040|
PV2|||CREATE DUPLICATE
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCIPACIFIC^UPTE||1111 DOLPHIN DRIVE^^SURREY^BC^V3K 4B5||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

