MSH|^~\&|ADM|COM|||202002051029||ADT^A04|4162269|D|2.2|||AL|NE
EVN|A04|202002051029||||201905221300
PID|1|FHATVIG0002452|CM00001033|CM1019|CWSTRAIN^ORANGE||19400923|M|||5807 37 AVE^^CHILLIWACK^BC^V2R 7P3|||||||CM000001/19|9876196943
PV1|1|O|CM.SCPN||||ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||COM|||||201905221300|
PV2|||
OBX|1|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|2|TX|ADM RESQDD^DATE ASKED^ADM||20200205||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^0^DOC|
ZFH|LUMED|||||||||ENREGRCR

