MSH|^~\&|ADM|ERH|||202001071049||ADT^A04|4140590|D|2.2|||AL|NE
EVN|A04|202001071049||||202001071048
PID|1|FHATVIG0007860|ER00001632|ER1608|OETEST^ITSPCS1||19790215|F|||123 Eagle Drive^^Port Moody^BC^BC|||||||ER000139/18|
PV1|1|O|ER.DIAB||||VENIAMINOS^VENIAMINOVA^SVETLANA^CIS^^^RN^^^^^^XX|||||||||||RCR|||||||||||||||||||||ERH|||||202001071048|
PV2|||Testing OE
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|VENIAMINOS^VENIAMINOVA^SVETLANA^CIS^^^RN^^OTH|789 Sunny Road^^Palmtree^BC^V3T 5X3|||VENIAMINOS^VENIAMINOVA^SVETLANA^CIS^^^RN^^OTH|
ZFH|LUMED||||||

