MSH|^~\&|ADM|SCSC|||202002051034||ADT^A04|4162284|D|2.2|||AL|NE
EVN|A04|202002051034||||202002051034
PID|1|FHATVIG0002452|SU00004134|CM1019|CWSTRAIN^ORANGE||19400923|M|||5807 37 AVE^^CHILLIWACK^BC^V2R 7P3|||||||SU000445/19|9876196943
PV1|1|O|SU.ABXT||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SCSC|||||202002051034|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180813||||||F
OBX|2|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|3|TX|ADM RESQDD^DATE ASKED^ADM||20200205||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED|||||||||ENREGRCR

