MSH|^~\&|ADM|BH|||201911221003||ADT^A08|4111074|D|2.2|||AL|NE
EVN|A08|201911221003||||201911220920
PID|1|FHATVIG0012508|BH00005206|SM46768|ADMKING^LIBERTE^TRAIN|PARMJIT|19920115|F|||7-7447 AVE^^PORT COQUITLAM^BC|||||||BH000415/19|9874856319
PV1|1|P|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201911220920|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON,AB,T0L 2T0||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||12 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||TO1LIT||||||F
GT1|1||ADMKING^LIBERTE^TRAIN||7-7447 AVE^^PORT COQUITLAM^BC^V4K 7F2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED||||||

