MSH|^~\&|ADM|BH|||201912131038||ADT^A04|4128773|D|2.2|||AL|NE
EVN|A04|201912131038||||201912131038
PID|1|FHATVIG0012775|BH00005217|SM46908|CSWCLARK^MYSTIQUE|JANE|19850111|F|||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5|||||||BH000426/19|9874779098
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912131038|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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||TOL1TO||||||F
GT1|1||CWSCLARK^MYSTIQUE^TRAIN||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

