MSH|^~\&|ADM|RCH|||201912111025||ADT^A11|4127132|D|2.2|||AL|NE
EVN|A11|201912111025||||20191120
PID|1|FHATVIG0006362|RC00007939|ER1576|CPATEST^BUICK^TEST||19740404|M|||11 22 AVE^^SURREY^BC|||||||RC000762/19|9875757626
PV1|1|O|RC.OR||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||RCH|||||201911201245|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^0^DOC||||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

