MSH|^~\&|ADM|SMH|||201912271424||ADT^A04|4133809|D|2.2|||AL|NE
EVN|A04|201912271424||||201912251212
PID|1|FHATVIG0012879|SM00047179|SM46955|FHLANDERMAN^PLIS||19970517|F|||7436 MITTS HOLLOW^^MIDWAY^BC^V8W 1F4|||||||SM003845/19|9698717928
PV1|1|O|SM.LAB||||PLISVCHM^Plisvch^Max^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201912251212|
PV2|||LAB
OBX|1|TX|UPI ISO^^ADM||CAN||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|PLISVCAR^Plisvca^Rocco^^^^^61001^DOC|2532 Garno Mtn^^Secelt^BC^V7M 9C5|||PLISVCHM^Plisvch^Max^^^^^61008^DOC|
ZFH|LUMED||||||

