MSH|^~\&|ADM|ARH|||202001211027||ADT^A04|4150300|D|2.2|||AL|NE
EVN|A04|202001211027||||202001211026
PID|1|FHATVIG0003532|AB00007335|AB7378|LABSILVER^TRAIN^BERNIE|MARY|19630201|M|||24800 ALLOUETTE RD^^MAPLE RIDGE^BC^V2X7G4|||||||AB000189/18|9879192643
PV1|1|O|AB.DS||||.CANNOTID^ID^Cannot^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||202001211026|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.CANNOTID^ID^Cannot^^^^^^OTH|
ZFH|LUMED||||||

