MSH|^~\&|ADM|SMH|||202001141041||ADT^A04|4145807|D|2.2|||AL|NE
EVN|A04|202001141041||||202001101041
PID|1|FHATVIG0013022|SM00047237|SM47015|SMITHTEST^JANUARY||19721212|F|||8904 PAY RD^^SURREY^BC^V3T 6Y6|||||||SM003945/19|
PV1|1|O|SM.MI||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001101041|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||SMITHTEST^JANUARY||8904 PAY RD^^SURREY^BC^V3T 6Y6||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

