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EVN|A04|202001280956||||202001280956
PID|1|FHATVIG0013159|RC00008114|RC7788|TESTVPNEW^LADY^X||19770516|F|||7777 22 STREET^^LANGLEY^BC^V0V 0V0|||||||RC001079/19|
PV1|1|O|RC.MFM||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||RCH|||||202001280956|
PV2|||
OBX|1|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|2|TX|ADM RESQDD^DATE ASKED^ADM||20200128||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^0^DOC||||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||ENREGRCR

