MSH|^~\&|ADM|ARH|||201912021144||ADT^A04|4121684|D|2.2|||AL|NE
EVN|A04|201912021144||||201912021144
PID|1|FHATVIG0012684|AB00008380|AB8297|OETEST^PHONE^TEST||19591202|F|||12345 ROAD^^SURREY^BC^BC|||||||AB000724/19|
PV1|1|O|AB.OR||||ORMSXALL^ORMSX^ALL^ACCESS TEST^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||ARH|||||201912021144|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMSXALL^ORMSX^ALL^ACCESS TEST^^^^90210^DOC|
ZFH|LUMED||||||

