MSH|^~\&|ADM|BH|||202001101055||ADT^A08|4143757|D|2.2|||AL|NE
EVN|A08|202001101054||||202001101300
PID|1|FHATVIG0012976|BH00005229|SM46992|CWSBAILEY^IMPULSE^TRAIN|CAROL|19890302|F|||7697 79 ST^^NEW WESTMINSTER^BC^V2H 3W7|||||||BH000440/19|9874758317
PV1|1|P|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202001101300|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191210||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L2T0||||||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||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||CWSBAILEY^IMPULSE^TRAIN||7697 79 ST^^NEW WESTMINSTER^BC^V2H 3W7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

