MSH|^~\&|ADM|RCH|||201912021426||ADT^A08|4121981|D|2.2|||AL|NE
EVN|A08|201912021426||||201912021405
PID|1|FHATVIG0010812|RC00007845|RC7593|CWSTEST^ECTPAT^9||20000807|M||||||||||RC000848/19|
PV1|1|P|RC.ECT||||RAMPERTN^Ramperti^Nicolas^M^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||RCH|||||201912021405|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1||SULFA|||20190830
ZFD|||||RAMPERTN^Ramperti^Nicolas^M^^^^66055^DOC|
ZFH|LUMED||||||

