MSH|^~\&|ADM|SMH|||202002121323||ADT^A04|4166631|D|2.2|||AL|NE
EVN|A04|202002121323||||202002121323
PID|1|FHATVIG0001144|SM00040294|SM40259|TMLTEST^UN||19890912|F|||13750 96TH AVE^^SURREY^BC^V3V 1Z2|||||||SM004139/19|9876427081
PV1|1|O|SM.LAB||||LABTESTG1^Labtest^Generic^Doc1^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002121323|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS^^^MSP||N||||||F
ZFD|LABTESTG1^Labtest^Generic^Doc1^^^^99009^DOC|123 MAIN ST^^MISSION^BC^V2V 2J5|||LABTESTG1^Labtest^Generic^Doc1^^^^99009^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGCLI||

