MSH|^~\&|ADM|SMH|||201910291212||ADT^A08|4092856|D|2.2|||AL|NE
EVN|A08|201910291212||||201910291104
PID|1|FHATVIG0012231|SM00046805|SM46596|MITEST^BABY^GIRL A|SMH PATIENT JUNESUMM|20181215|F|||3000 ROUND^^WINDY CITY^BC^V0J 0L0|||||||SM003295/19|9874949523
PV1|1|I|SM-S2NUR1^SMNUR1-201^A|NB|||ITSTESTMA1^ITSTEST^MI^ATT DOC 1^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910291104|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||||||||||MO
ZFD|ITSTESTMF1^ITSTEST^MI^FAM DOC 1^^^MD^^DOC|32900 Marshall Road^^Abbotsford^BC^V2S 0C2||ITSTESTHEM^ITSTEST^MI^HEMO DOC1^^^MD^102090^^DOC|ITSTESTMA1^ITSTEST^MI^ATT DOC 1^^^^^DOC|ITSTESTMA1^ITSTEST^MI^ATT DOC 1^^^^^DOC|ITSTESTMO1^ITSTEST^MI^OTH DOC 1^^^MD^^DOC||ITSTESTREF^ITSTEST^MI^REF DOC1^^^MD^^DOC
ZFH|LUMED||||||