MSH|^~\&|ADM|ARH|||201912170838||ADT^A04|4130094|D|2.2|||AL|NE
EVN|A04|201912170838||||201912170838
PID|1|FHATVIG0012684|AB00008380|AB8297|OETEST^PHONE^TEST||19591202|F|||12345 ROAD^^SURREY^BC^BC|||||||AB000805/19|9874801662
PV1|1|O|AB.GDC||||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||||||||||CLI|||||||||||||||||||||ARH|||||201912170838|
PV2|||TEST
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||