MSH|^~\&|ADM|SMH|||201912061017||ADT^A08|4124863|D|2.2|||AL|NE
EVN|A08|201912061017||||201912061016
PID|1|FHATVIG0012741|SM00047125|SM46903|LUMEDTEST^MERGEPAT^A||19880806|F|||2032 123 ST^^SURREY^BC^V8V 9V9|||||||SM003756/19|9874792667
PV1|1|O|SM.CARD||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912061016|
PV2|||TEST REASON FOR VISIT
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

