MSH|^~\&|ADM|DH|||202001071402||ADT^A04|4141112|D|2.2|||AL|NE
EVN|A04|202001071402||||202001071402
PID|1|FHATVIG0000354|DH00002194|CG2014|MITEST^QUIDDICH^CALVIN||19851217|M|||215 WILSON STREET^^SKAGIT VALLEY^BC^V5C 2S4|||||||DH000057/19|9876498721
PV1|1|O|DH.MI||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||DH|||||202001071402|
PV2|||MI
GT1|1||MITEST^QUIDDICH^CALVIN||215 WILSON STREET^^SKAGIT VALLEY^BC^V5C 2S4||||||SP
ZFD|ITSTESTCA1^ITSTEST^CA^ATT^^^^^DOC||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

