MSH|^~\&|ADM|BH|||202002010300||ADT^A04|4159617|D|2.2|||AL|NE
EVN|A04|202002010300||||202001310800
PID|1|FHATVIG0013038|BH00005249|SM47021|CWSGONZALES^SORENTO^TRAIN|MINNIE MOUSE|19870924|F|||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0|||||||BH000472/19|9874757118
PV1|1|O|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202001310800|
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 2TO||||||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||CWSGONZALES^SORENTO^TRAIN||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED|||||||||REVRCR

MSH|^~\&|ADM|BH|||202002010300||ADT^A04|4159618|D|2.2|||AL|NE
EVN|A04|202002010300||||202001310805
PID|1|FHATVIG0013037|BH00005250|SM47020|CWSLOPEZ^METRO^TRAIN|SARA|19880719|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7|||||||BH000473/19|9874757125
PV1|1|O|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202001310805|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20200109||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCCOP^BC CareCard \T\ Other 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 OPCAD4^Province^INS||AB||||||F
OBX|8|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|||||||||REVRCR

MSH|^~\&|ADM|ARH|||202002010300||ADT^A04|4159619|D|2.2|||AL|NE
EVN|A04|202002010300||||202001310900
PID|1|FHATVIG0011373|AB00008498|SM45905|ADMTEST^JEFF|MANDEEP|19730527|M|||32896 MARSHALL ROAD^^ABBOTSFORD^BC^V9Y 8U7|||||||AB001006/19|9875028365
PV1|1|O|AB.DIAB||||BIRDIR^Birdi^Ravdeep^S^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||202001310900|
PV2|||DIABETES
OBX|1|TX|BAR MSP NM^Care Card Name LASTNAME,FIRSTNAME MIDDLE^INS||ADMTEST,JEFF||||||F
OBX|2|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||N||||||F
OBX|3|TX|INS WCBBP^Body Part^INS||23100||||||F
OBX|4|TX|INS WCBNOI^Nature of Injury^INS||02000||||||F
GT1|1||ADMTEST^JEFF||32896 MARSHALL ROAD^^ABBOTSFORD^BC^V9Y 8U7||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BIRDIR^Birdi^Ravdeep^S^^^^65808^DOC|
ZFH|LUMED|||||||||ENREGRCR

