MSH|^~\&|ADM|BH|||202001171032||ADT^A08|4148405|D|2.2|||AL|NE
EVN|A08|202001171032||||202001171115
PID|1|FHATVIG0013037|BH00005250|SM47020|CWSLOPEZ^METRO^TRAIN|SARA|19880719|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7|||||||BH000473/19|9874757125
PV1|1|P|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202001171115|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20200109||||||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||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0LIT0||||||F
GT1|1||CWSLOPEZ^METRO^TRAIN||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED||||||

