MSH|^~\&|ADM|RCH|||201912151445||ADT^A04|4129224|D|2.2|||AL|NE
EVN|A04|201912151445||||201912151445
PID|1|FHATVIG0012795|RC00007999|RC7716|SCHWUCHOW^NICOLAS||20121007|M|||4654164645^^MAPLE RIDGE^BC^V2X 4O7|||||||RC000932/19|
PV1|1|O|RC.ZB0111||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||RCH|||||201912151445|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH|||.UNATTACH^Unattach^^^^^^^^OTH|.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

