MSH|^~\&|ADM|RCH|||202001281013||ADT^A04|4157324|D|2.2|||AL|NE
EVN|A04|202001281012||||202001281012
PID|1|FHATVIG0013160|RC00008115|RC7789|TESTVPNEW^LADY^Y||19781122|F|||1111 99 STREET^^SURREY^BC^V1V 1V1|||||||RC001081/19|9715143138
PV1|1|O|RC.MFM||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||RCH|||||202001281012|
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|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||ENREGRCR

