MSH|^~\&|ADM|SMH|||202001281344||ADT^A04|4157478|D|2.2|||AL|NE
EVN|A04|202001281344||||202001281343
PID|1|FHATVIG0013164|SM00047306|SM47081|ADMPERRY^INTEGRA^TRAIN||19710717|M|||9719 188 AVE^^NEW WEATMINSTER^BC^V5W 6N6|||||||SM004047/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202001281343|
PV2|||BW
OBX|1|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|2|TX|INS WCBBP^Body Part^INS||02000||||||F
OBX|3|TX|INS WCBDOI^Date of Injury^INS||20200128||||||F
OBX|4|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
GT1|1||ADMPERRY^INTEGRA^TRAIN||9719 188 AVE^^NEW WEATMINSTER^BC^V5W 6N6||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|||||||||ENREGRCR

