MSH|^~\&|ADM|BH|||201910150300||ADT^A04|4078775|D|2.2|||AL|NE
EVN|A04|201910150300||||201910140700
PID|1|FHATVIG0011048|BH00005156|SM45631|ADMCOLEMAN^PASSPORT^TRAIN|MACY|19900201|F|||3211 41 ST^^NEW WESTMINSTER^BC^V3Z 5Q7|||||||BH000357/19|9875047523
PV1|1|O|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910140700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190830||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON,AB,T0L 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMCOLEMAN^PASSPORT^TRAIN||3211 41 ST^^NEW WESTMINSTER^BC^V3Z 5Q7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910150300||ADT^A04|4078776|D|2.2|||AL|NE
EVN|A04|201910150300||||201910140700
PID|1|FHATVIG0011046|BH00005155|SM45629|CWSRAMIREZ^ELECTRA^TRAIN|JENNIFER|19910907|F|||6303 45 ST^^NEW WESTMINSTER^BC^V7V 8S3|||||||BH000356/19|9875047555
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910140700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190830||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||CWSRAMIREZ^ELECTRA^TRAIN||6303 45 ST^^NEW WESTMINSTER^BC^V7V 8S3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910150300||ADT^A04|4078777|D|2.2|||AL|NE
EVN|A04|201910150300||||201910140800
PID|1|FHATVIG0010377|BH00005093|SM45203|ADMRAMIREZ^CORVETTE^TRAIN|MINNIE|19910707|F|||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8|||||||BH000304/19|9875193139
PV1|1|O|BH.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910140800|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190601||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB TOL 2T0||||||F
GT1|1||ADMRAMIREZ^CORVETTE^TRAIN||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

