MSH|^~\&|ADM|BH|||202001311007||ADT^A08|4159174|D|2.2|||AL|NE
EVN|A08|202001311007||||202001311100
PID|1|FHATVIG0013176|BH00005268|SM47085|CWSFLORES^FREELANDER^TRAIN|SARA|19841013|F|||3628 141 AVE^^MAPLE RIDGE^BC|||||||BH000501/19|9874752545
PV1|1|P|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202001311100|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20200123||||||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 LIVEDHEREBEFOR ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||CWSFLORES^FREELANDER^TRAIN||3628 141 AVE^^MAPLE RIDGE^BC^V2O 6P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED|||||||||EDPRERCR

