MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093299|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0011478|BH00005164|SM46005|ADMEVANS^ALLANTE^TRAIN|STEFANIE|19821107|F|||2762 208 ST^^PORT COQUITLAM^BC^V1Q 2F5|||||||BH000367/19|9875023943
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190918||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMEVANS^ALLANTE^TRAIN||2762 208 ST^^PORT COQUITLAM^BC^V5S 3O1||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093300|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0011969|BH00005177|SM46428|ADMCAMPBELL^ARROW^TRAIN||19850314|F|||6036 205 ST^^NEW WESTMINSTER^BC^V5U 8C6|||||||BH000380/19|9874968713
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191017||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON,AB,T0L2T0||||||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||ADMCAMPBELL^ARROW^TRAIN||6036 205 ST^^NEW WESTMINSTER^BC^V5U 8C6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093301|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0011966|BH00005174|SM46425|ADMPATTERSON^ELECTRA^TRAIN||19890315|F|||5493 115 ST^^NORTH VANCOUVER^BC^V7U 6P2|||||||BH000377/19|9874968777
PV1|1|O|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190719||||||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||TOL1TO||||||F
GT1|1||ADMPATTERSON^ELECTRA^TRAIN||5493 115 ST^^NORTH VANCOUVER^BC^V7U 6P2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093302|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0011970|BH00005175|SM46429|CWSHERNANDEZ^EXCEL^TRAIN||19831109|F|||1793 141 AVE^^NORTH VANCOUVER^BC^V0P 6Q4|||||||BH000378/19|9874968738
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191017||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, TOL 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||CWSHERNANDEZ^EXCEL^TRAIN||1793 141 AVE^^NORTH VANCOUVER^BC^V0P 6Q4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093303|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0011972|BH00005176|SM46431|ADMEVANS^VANAGON^TRAIN||19901116|F|||5295 2 STREET^^MAPLE RIDGE^BC^V1Q 6M7|||||||BH000379/19|9874968698
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191001||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST EDMONTON, AB  TOL 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 OPCAD5^Postal Code^INS||L0L1T0||||||F
GT1|1||ADMEVANS^VANAGON^TRAIN||5295 2 STREET^^MAPLE RIDGE^BC^V1Q 6M7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093304|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0011967|BH00005172|SM46426|CWSGRIFFIN^PRELUDETRAIN||19890901|F|||7052 295 AVE^^PITT MEADOWS BC^BC^V4T5F5|||||||BH000375/19|9874968752
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L2T0||||||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 LIVEDHEREBEFORESTREET||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1TO||||||F
GT1|1||CWSGRIFFIN^PRELUDETRAIN||7052 295 AVE^^PITT MEADOWS BC^BC^V4T5F5||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093305|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0011965|BH00005173|SM46424|ADMBRYANT^PRELUDE^TRAIN|STEFANIE|19850107|F|||9041 37 AVE^^MAPLE RIDGE^BC^V2Z 3A1|||||||BH000376/19|9874968791
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST. EDMONTON, AB, t0l2t2||||||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||123LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093307|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0012145|BH00005185|SM46569|ADMMORGAN^EQUINOX^TRAIN|BARB|19910511|F|||1201 251 AVE^^NEW WESTMINSTER^BC^V7M 2O4|||||||BH000388/19|9874955835
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM SCH DT^Appointment Date^ADM||20191025||||||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||123450000||||||F
OBX|6|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|7|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMMORGAN^EQUINOX^TRAIN||1201 251 AVE^^NEW WESTMINSTER^BC^V7M 2O4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093310|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0012143|BH00005184|SM46567|CWSEVANS^EIGHT^TRAIN|BARB|19910614|F|||4589 25 ST^^MAPLE RIDGE^BC^V2N 3D1|||||||BH000387/19|9874955867
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||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 OPCAD5^Postal Code^INS||T0L2T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSEVANS^EIGHT^TRAIN||4589 25 ST^^MAPLE RIDGE^BC^V2N 3D1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093312|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0012147|BH00005186|SM46571|CWSSTEWART^JETTA^TRAIN|BARB|19900722|F|||7558 100 ST^^NEW WESTMINSTER^BC^V4J 3I3|||||||BH000389/19|9874955803
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|2|TX|ADM SCH DT^Appointment Date^ADM||20191025||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||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||T0L1T0||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSSTEWART^JETTA^TRAIN||7558 100 ST^^NEW WESTMINSTER^BC^V4J 3I3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093315|D|2.2|||AL|NE
EVN|A04|201910300300||||201910290700
PID|1|FHATVIG0012141|BH00005187|SM46565|ADMSTEWART^SONOMA^TRAIN|BARB|19920215|F|||8177 14 AVE^^MAPLE RIDGE^BC^V8A 4M3|||||||BH000390/19|9874955899
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910290700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM SCH DT^Appointment Date^ADM||20191025||||||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 OPCAD5^Postal Code^INS||T0L2T0||||||F
GT1|1||ADMSTEWART^SONOMA^TRAIN||8177 14 AVE^^MAPLE RIDGE^BC^V8A 4M3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201910300301||ADT^A04|4093317|D|2.2|||AL|NE
EVN|A04|201910300301||||201910291000
PID|1|FHATVIG0012139|BH00005183|SM46563|CWSWRIGHT^TALON^TRAIN|BARB|19940903|F|||9752 144 AVE^^NEW WESTMINSTER^BC^V3P 4U0|||||||BH000386/19|9874955978
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201910291000|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPC^Other Province Health Care Number^INS||1234500||||||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 OPCAD5^Postal Code^INS||T0L2T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSWRIGHT^TALON^TRAIN||9752 144 AVE^^NEW WESTMINSTER^BC^V3P 4U0||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910300301||ADT^A04|4093324|D|2.2|||AL|NE
EVN|A04|201910300301||||201910291400
PID|1|FHATVIG0009483|SM00044883|SM44689|CWSROSS^BONNEVILLE^TRAIN|JANET|19801020|F|||4871 235 ST^^MAPLE RIDGE^BC^V1Z 1Y5|||||||SM002467/19|9875310248
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910291400|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190604||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST.,EDMONTON AB  T1A4R4||||||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 LIVEDHERBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T1A4R4||||||F
GT1|1||CWSROSS^BONNEVILLE^TRAIN||4871 235 ST^^MAPLE RIDGE^BC^V1Z 1Y5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910300301||ADT^A08|4093325|D|2.2|||AL|NE
EVN|A08|201910300301||||201910291400
PID|1|FHATVIG0009483|SM00044883|SM44689|CWSROSS^BONNEVILLE^TRAIN|JANET|19801020|F|||4871 235 ST^^MAPLE RIDGE^BC^V1Z 1Y5|||||||SM002467/19|9875310248
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910291400|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190604||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST.,EDMONTON AB  T1A4R4||||||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 LIVEDHERBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T1A4R4||||||F
GT1|1||CWSROSS^BONNEVILLE^TRAIN||4871 235 ST^^MAPLE RIDGE^BC^V1Z 1Y5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910300301||ADT^A04|4093326|D|2.2|||AL|NE
EVN|A04|201910300301||||201910291415
PID|1|FHATVIG0010377|SM00045406|SM45203|ADMRAMIREZ^CORVETTE^TRAIN|MINNIE|19910707|F|||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8|||||||SM002463/19|9875193139
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910291415|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190601||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB TOL 2T0||||||F
OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|8|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|9|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|10|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMRAMIREZ^CORVETTE^TRAIN||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910300301||ADT^A04|4093327|D|2.2|||AL|NE
EVN|A04|201910300301||||201910291530
PID|1|FHATVIG0010373|SM00045399|SM45196|ADMSANCHEZ^FIERO^TRAIN|JANE|19870209|F|||3304 37 ST^^PORT COQUITLAM^BC^V3B 7K4|||||||SM002466/19|9875193192
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910291530|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190601||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2TD||||||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 LIVEDHEREBEFOREST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMSANCHEZ^FIERO^TRAIN||3304 37 ST^^PORT COQUITLAM^BC^V5I 3I8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

