MSH|^~\&|ADM|BH|||202002070944||ADT^A08|4163820|D|2.2|||AL|NE
EVN|A08|202002070944||||202002071055
PID|1|FHATVIG0013232|BH00005279|SM47110|ADMPERRY^VISION^TRAIN|GOOFY|19850501|F|||3939 212 AVE^^NORTH VANCOUVER^BC^V2I 3W3|||||||BH000513/19|9874750573
PV1|1|P|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202002071055|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191208||||||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 OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMPERRY^VISION^TRAIN||3939 212 AVE^^NORTH VANCOUVER^BC^V2I 3W3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED|||||||||EDPRERCR

