MSH|^~\&|ADM|BH|||201912170300||ADT^A04|4130027|D|2.2|||AL|NE
EVN|A04|201912170300||||201912160700
PID|1|FHATVIG0012624|BH00005209|SM46827|CWSCOLEMAN^VANAGON^TRAIN||19881005|F|||3521 68 ST^^PITT MEADOWS^BC^V0F 6T3|||||||BH000418/19|9874809366
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912160700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191121||||||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||T0L1T0||||||F
GT1|1||CWSCOLEMAN^VANAGON^TRAIN||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912170300||ADT^A04|4130028|D|2.2|||AL|NE
EVN|A04|201912170300||||201912160800
PID|1|FHATVIG0010373|SM00045399|SM45196|ADMSANCHEZ^FIERO^TRAIN|JANE|19870209|F|||3304 37 ST^^PORT COQUITLAM^BC^V3B 7K4|||||||SM002466/19|9875193192
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201912160800|
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, T0L 2TD||||||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 LIVEDHEREBEFOREST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMSANCHEZ^FIERO^TRAIN||3304 37 ST^^PORT COQUITLAM^BC^V5I 3I8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912170300||ADT^A04|4130029|D|2.2|||AL|NE
EVN|A04|201912170300||||201912160815
PID|1|FHATVIG0009963|SM00045206|SM45004|CWSBUTLER^COUGAR^TRAIN|ANNABELLE|19920502|F|||3376 97 AVE^^PORT COQUITLAM^BC^V5Z 7W4|||||||SM002468/19|9875246214
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201912160815|
PV2|||DIABETES
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||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREALBERTA||||||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 LIVEDHERBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||CWSBUTLER^COUGAR^TRAIN||3376 97 AVE^^PORT COQUITLAM^BC^V5Z 7W4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912170300||ADT^A04|4130030|D|2.2|||AL|NE
EVN|A04|201912170300||||201912160830
PID|1|FHATVIG0010377|SM00045406|SM45203|ADMRAMIREZ^CORVETTE^TRAIN|MINNIE|19910707|F|||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8|||||||SM002463/19|9875193139
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201912160830|
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|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB TOL 2T0||||||F
OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|8|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|9|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|10|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||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||||||

MSH|^~\&|ADM|BH|||201912170300||ADT^A04|4130031|D|2.2|||AL|NE
EVN|A04|201912170300||||201912160900
PID|1|FHATVIG0012625|BH00005211|SM46828|ADMROGERS^TREDIA^TRAIN||19830209|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y 5K5|||||||BH000420/19|9874809359
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912160900|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191118||||||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 LIVEDHERE BEFORE ST, EDMONTON AB, T0H 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20200227||||||F
OBX|6|TX|INS OPCAD1^Address line 1^INS||123 LIVED HEREBEFORE ST||||||F
OBX|7|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMROGERS^TREDIA^TRAIN||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201912170300||ADT^A04|4130032|D|2.2|||AL|NE
EVN|A04|201912170300||||201912161000
PID|1|FHATVIG0012713|BH00005216|SM46879|ADMMARTINEZ^IMPULSE^TRAIN|KIRAN|19850218|F|||2242 77 ST^^NORTH VANCOUVER^BC^V4B 4D7|||||||BH000425/19|9874794678
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912161000|
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 LIVEDHEREBEFOREST, 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 LIVEDHEREBEFOREST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMMARTINEZ^IMPULSE^TRAIN||2242 77 ST^^NORTH VANCOUVER^BC^V4B 4D7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201912170300||ADT^A04|4130033|D|2.2|||AL|NE
EVN|A04|201912170300||||201912161430
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|||||201912161430|
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||||||

