MSH|^~\&|ADM|SMH|||201912181121||ADT^A04|4130860|D|2.2|||AL|NE
EVN|A04|201912181121||||201912181116
PID|1|FHATVIG0008678|SM00044495|SM44308|CWSBAILEY^CRESSIDA^TRAIN|PAIGE|20100204|M|||8634 84 ST^^PORT COQUITLAM^BC^V4G 8O6|||||||SM003806/19|9875403746
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912181116|
PV2|||BLOOD WORK
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20160424||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|4|TX|UPI ISO^^ADM||CAN||||||F
OBX|5|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||CWSBAILEY^CRESSIDA^TRAIN||8634 84 ST^^PORT COQUITLAM^BC^V4G 8O6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

