MSH|^~\&|ADM|BH|||202001300200||ADT^A03|4158224|D|2.2|||AL|NE
EVN|A03|202001300200||||20200129
PID|1|FHATVIG0007258|BH00004813|SM43504|ADMBAKER^STANZA^TRAIN|LUCY|19890616|F|||5759 214 AVE^^PITT MEADOWS^BC^V1N6Q5|||||||BH000690/18|9875627065
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201901290700|202001290001
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM MN^Enter Patient's Maiden Name:^ADM||ADMMAIDENNAME,SUZIE LYNN||||||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 LIVEDHERE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||CALGARY||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T4T4T4||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED|||||||||ENDISRCR

MSH|^~\&|ADM|BH|||202001300200||ADT^A03|4158225|D|2.2|||AL|NE
EVN|A03|202001300200||||20200129
PID|1|FHATVIG0007257|BH00004811|SM43503|CWSWILSON^SORENTO^TRAIN|CINDY|19821124|F|||1784 86ST NORTH VANCOUVER^^NORTH VANCOUVER^BC^V3N 6K5|||||||BH000688/18|9875623606
PV1|1|O|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201901290700|202001290001
PV2|||ONCOLOGY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|6|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20190131||||||F
OBX|7|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHERE ST||||||F
OBX|8|TX|INS OPCAD3^City^INS||CALGARY||||||F
OBX|9|TX|INS OPCAD5^Postal Code^INS||T4T4T4||||||F
OBX|10|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED|||||||||ENDISRCR

