MSH|^~\&|ADM|SMH|||202001281318||ADT^A04|4157435|D|2.2|||AL|NE
EVN|A04|202001281318||||202001281317
PID|1|FHATVIG0009719|SM00045057|SM44859|CWSRAMIREZ^ROCKY^TR||19441024|M|||7652 249 ST^^PITT MEADOWS^BC^V3Y 4E7|||||||SM004045/19|9875288078
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001281317|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170901||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|4|TX|UPI ISO^^ADM||CAN||||||F
OBX|5|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||CWSRAMIREZ^ROCKY^TR||7652 249 ST^^PITT MEADOWS^BC^V3Y 4E7||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENREGCLI

